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在印度一家公立医院中,年轻人慢性房室传导阻滞的病因。

Etiology of chronic atrioventricular block in young adults in a public university hospital in India.

机构信息

Department of Cardiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

Department of Cardiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

出版信息

Indian Heart J. 2021 Nov-Dec;73(6):754-756. doi: 10.1016/j.ihj.2021.09.013. Epub 2021 Oct 20.

Abstract

In young adults, chronic atrioventricular (AV) block has scant systematic documentation in India. This prospective study included patients 18-40 years old, presenting with AV block without a reversible cause. There were 27 patients, aged 32 +/- 6.3 years, with 16 males. All patients had complete AV block with a narrow QRS escape rhythm (rate 40.5 ± 6.5 beats/min). Three patients were ANA positive and of these, 2 patients were anti ds DNA positive. The ESR and CRP levels were mildly elevated in 12 and 8 patients respectively. The rest of the tests were unremarkable. Despite performing multiple tests, the etiology remained idiopathic in most.

摘要

在印度,年轻人的慢性房室(AV)传导阻滞鲜有系统的文献记载。本前瞻性研究纳入了 18-40 岁、存在无明确可逆病因的 AV 传导阻滞的患者。27 名患者的年龄为 32±6.3 岁,其中 16 名为男性。所有患者均存在完全性 AV 传导阻滞伴窄 QRS 逸搏节律(频率 40.5±6.5 次/分)。3 名患者抗核抗体阳性,其中 2 名抗双链 DNA 抗体阳性。12 名患者的红细胞沉降率和 C 反应蛋白水平轻度升高,8 名患者的红细胞沉降率和 C 反应蛋白水平轻度升高。其余检查均无明显异常。尽管进行了多项检查,但大多数患者的病因仍为特发性。

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