高度房室传导阻滞。应激性心肌病的一种罕见表现：病例报告。
High-degree atrioventricular block. An unusual presentation of Takotsubo cardiomyopathy: a case report.
作者信息
Revilla-Martí Pablo, Cueva-Recalde Juan F, Linares-Vicente Jose A, Río-Sánchez Sara, Ruiz-Arroyo Jose R
机构信息
Cardiology Department, Hospital Clínico Universitario "Lozano Blesa", Av. San Juan Bosco 15, 50009, Zaragoza, Spain.
出版信息
Egypt Heart J. 2021 Feb 25;73(1):18. doi: 10.1186/s43044-021-00144-x.
BACKGROUND
Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy characterized by acute left ventricular systolic dysfunction with transient wall motion abnormalities without a culprit coronary stenosis or other concurrent diagnoses. Its coexistence with transient high-degree AV block is very infrequent.
CASE PRESENTATION
A 61-year-old man presented with a new onset of high degree AV block without ST segment deviations developing an anterior and apical dyskinesia with a low left ventricular ejection fraction in the absence of coronary artery disease.
CONCLUSION
Atrioventricular block is an uncommon presentation of Takotsubo syndrome. The management of patients with relevant conduction disorders in this scenario is a challenge for the clinician. In case of persistence of advanced conduction disorders, it seems appropriate to implant a pacemaker.
背景
应激性心肌病是一种非缺血性心肌病，其特征为急性左心室收缩功能障碍，伴有短暂的室壁运动异常，而无罪犯冠状动脉狭窄或其他并发诊断。它与短暂性高度房室传导阻滞并存的情况非常罕见。
病例介绍
一名61岁男性出现新发高度房室传导阻滞，无ST段偏移，在无冠状动脉疾病的情况下出现前壁和心尖运动障碍，左心室射血分数降低。
结论
房室传导阻滞是应激性心肌病的一种罕见表现。在这种情况下，对有相关传导障碍的患者进行管理对临床医生来说是一项挑战。如果高级传导障碍持续存在，植入起搏器似乎是合适的。
Zotero 插件