房室传导阻滞的导管消融：从诊断到合适治疗的选择
Catheter Ablation of Atrioventricular Block: From Diagnosis to Selection of Proper Treatment.
作者信息
Baysal Erkan, Guler Tumer Erdem, Gopinathannair Rakesh, Bozyel Serdar, Yalin Kıvanc, Aksu Tolga
机构信息
Department of Cardiology, University of Health Sciences, Diyarbakir Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
Department of Cardiology, University of Health Sciences, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.
出版信息
JACC Case Rep. 2020 Sep 15;2(11):1793-1801. doi: 10.1016/j.jaccas.2020.07.050. eCollection 2020 Sep.
A 39-year-old man presented with recurrent syncope. A 12-lead electrocardiogram and a 24-h Holter recording demonstrated atypical persistent Mobitz type I and high-degree atrioventricular block, respectively. The functional nature of the atrioventricular block was confirmed by atropine challenge, exercise testing, and electrophysiological study. The patient was successfully treated with a cardioneuroablation procedure. ().
一名39岁男性出现反复晕厥。12导联心电图和24小时动态心电图记录分别显示非典型持续性莫氏I型和高度房室传导阻滞。通过阿托品激发试验、运动试验和电生理研究证实了房室传导阻滞的功能性本质。该患者通过心脏神经消融术成功治愈。
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