年轻孕妇阵发性房室传导阻滞伴心室停搏 1 例：其机制是什么？
Case report of paroxysmal atrioventricular block and ventricular arrest in a young pregnant woman: What is the mechanism?
机构信息
Department of Cardiovascular Medicine, The First Hospital of Changsha, Changsha, China.
出版信息
Ann Noninvasive Electrocardiol. 2022 Mar;27(2):e12909. doi: 10.1111/anec.12909. Epub 2021 Oct 28.
A 30-year-old female patient with 12 weeks of gestation was admitted to our hospital due to dizziness and amaurosis fugax. Moreover, 24 h Holter monitoring showed paroxysmal atrioventricular block (P-AVB) and ventricular arrest. The heart block in the patient was likely a vagally mediated heart block based on the "vagal score." She was not given a pacemaker, and the symptoms and AV nodal conduction were improved following the delivery.
一位 30 岁女性患者，妊娠 12 周，因头晕和一过性黑矇就诊于我院。此外，24 h 动态心电图监测显示阵发性房室传导阻滞（P-AVB）和心室停搏。根据“迷走神经评分”，患者的心脏阻滞可能是迷走神经介导的心脏阻滞。未给患者安置起搏器，分娩后患者症状和房室结传导改善。
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