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一例罕见的原发性二尖瓣感染性心内膜炎，表现为完全性心脏传导阻滞和间歇性心房扑动。

A rare case of native mitral valve infective endocarditis presenting with complete heart block and intermittent atrial flutter.

作者信息

Thomas Pravin, Ansari Shahryar, Elkhouly Ahmed A, Wallach Sara

机构信息

Internal Medicine Department, Seton Hall University School of Health and Medical Sciences, Trenton, New Jersey, USA.

出版信息

J Community Hosp Intern Med Perspect. 2021 Mar 23;11(2):238-241. doi: 10.1080/20009666.2021.1877395.

DOI:10.1080/20009666.2021.1877395
PMID:33889328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043547/
Abstract

Mitral valve infective endocarditis, without aortic involvement, is a rare cause of complete heart block. It is thought that infections placed close to the conductive system of the heart may drive a conduction block. We found six cases in the literature, via searching PubMed, of mitral valve infective endocarditis with complete heart block and no aortic involvement. We report a case of complete heart block with a junctional escape rhythm in a patient with a Staphylococcus Aureus vegetation on a native mitral valve only.

摘要

二尖瓣感染性心内膜炎，无主动脉受累，是完全性心脏传导阻滞的罕见病因。据认为，靠近心脏传导系统的感染可能导致传导阻滞。通过检索PubMed，我们在文献中发现了6例二尖瓣感染性心内膜炎合并完全性心脏传导阻滞且无主动脉受累的病例。我们报告1例仅在天然二尖瓣上有金黄色葡萄球菌赘生物的患者发生完全性心脏传导阻滞并伴有交界性逸搏心律。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5767/8043547/b1ec57075e0d/ZJCH_A_1877395_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5767/8043547/d5ebec1dc4df/ZJCH_A_1877395_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5767/8043547/b1ec57075e0d/ZJCH_A_1877395_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5767/8043547/d5ebec1dc4df/ZJCH_A_1877395_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5767/8043547/b1ec57075e0d/ZJCH_A_1877395_F0002_B.jpg

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本文引用的文献

1
Acute mitral valve endocarditis complicated by complete atrioventricular block, junctional escape rhythm, and skin manifestations.急性二尖瓣心内膜炎并发完全性房室传导阻滞、交界性逸搏心律及皮肤表现。
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成人感染性心内膜炎：诊断、抗菌治疗和并发症处理：美国心脏协会医疗保健专业人员科学声明。
Circulation. 2015 Oct 13;132(15):1435-86. doi: 10.1161/CIR.0000000000000296. Epub 2015 Sep 15.
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An atypical presentation of infective endocarditis.感染性心内膜炎的非典型表现。
Rev Port Cardiol. 2012 Dec;31(12):829-32. doi: 10.1016/j.repc.2012.04.015. Epub 2012 Nov 20.
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Complete atrioventricular block: a rare presentation of mitral valve endocarditis.完全性房室传导阻滞：二尖瓣心内膜炎的一种罕见表现。
J Invasive Cardiol. 2010 Jan;22(1):E1-2.
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Mitral valve endocarditis presenting as complete heart block.二尖瓣心内膜炎表现为完全性心脏传导阻滞。
Tex Heart Inst J. 2006;33(1):100-1.
7
Complete heart block associated with mitral annular abscess.与二尖瓣环脓肿相关的完全性心脏传导阻滞。
Mayo Clin Proc. 2005 Nov;80(11):1531-2. doi: 10.4065/80.11.1531.