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心脏神经消融治疗慢径消融术后二度房室传导阻滞的长期随访

Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation.

作者信息

Vassallo Fabricio Sarmento, Meigre Lucas Luis, da Silva Edevaldo, Serpa Eduardo Giestas, Lemos da Cunha Christiano, Simões Aloyr Gonçalves, Carloni Hermes, Volponi Lovato Carlos Alexandre

机构信息

Department of Electrophysiology, Institute of Cardiology of Espirito Santo, Vitoria, Brazil.

Department of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, Brazil.

出版信息

JACC Case Rep. 2020 Sep 15;2(11):1781-1788. doi: 10.1016/j.jaccas.2020.07.048. eCollection 2020 Sep.

Abstract

We present the long-term follow-up of a 31-year-old woman who underwent cardioneuroablation (for atrioventricular (AV) block. Slow pathway ablation was performed in September 2017 with normal follow-up until April 2018, when the patient started noticing symptoms of palpitations at rest, and the electrocardiogram showed a Mobitz I AV block. A cardiac stress test and 24-h Holter monitoring demonstrated first- and second-degree block and normal AV conduction during times of higher heart rate. ().

摘要

我们报告了一名31岁女性的长期随访情况,该患者接受了心脏神经消融术(用于治疗房室传导阻滞)。2017年9月进行了慢径路消融,随访至2018年4月均正常,此后患者开始出现静息时心悸症状,心电图显示莫氏I型房室传导阻滞。心脏负荷试验和24小时动态心电图监测显示一度和二度房室传导阻滞,且心率加快时房室传导正常。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9d/8312122/6fb2c9e0dbc7/fx1.jpg

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