Choudhury Moinuddin, Kumar Narendra, Chalil Shajil, Abozguia Khalid
Lancashire Cardiac Centre, Blackpool Victoria Hospital Blackpool UK.
Clin Case Rep. 2022 Jun 19;10(6):e5964. doi: 10.1002/ccr3.5964. eCollection 2022 Jun.
Severe hypertension sometimes improves with treatment of bradycardia but this phenomenon is under-reported. Here, an elderly gentleman with complete heart block and a hypertensive emergency was refractory to medical therapies and blood pressure only improved following pacemaker implantation. We discuss the possible mechanisms relating to heart rate and artificial pacing.
严重高血压有时通过治疗心动过缓会有所改善,但这种现象的报道较少。在此,一名患有完全性心脏传导阻滞和高血压急症的老年男性对药物治疗无效,仅在植入起搏器后血压才有所改善。我们讨论了与心率和人工起搏相关的可能机制。