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病例报告：经皮导管封堵卵圆孔未闭术中的恶性血管迷走反射综合征

Case report: Malignant vasovagal reflex syndrome during percutaneous transcatheter closure of patent foramen ovale.

作者信息

Li Zhiyang, Dong Qian, Huang Lun, Zeng Qiutang, Yu Kunwu

机构信息

Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Cardiovasc Med. 2023 Jul 4;10:1150011. doi: 10.3389/fcvm.2023.1150011. eCollection 2023.

DOI:10.3389/fcvm.2023.1150011
PMID:37469478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10352606/
Abstract

Malignant vasovagal reflex syndrome can be induced by pulling of cardiac tissue during percutaneous transcatheter closure of patent foramen ovale. In this case, a patient presented with a malignant vasovagal reflex syndrome characterized by decreased heart rate, cardiac arrest, and ventricular tachycardia. Therefore, it's particularly important to observe patients' heart rate and timely deal with vasovagal reflex syndrome during the operation.

摘要

经皮导管封堵卵圆孔未闭时牵拉心脏组织可诱发恶性血管迷走反射综合征。在该病例中，一名患者出现了以心率减慢、心脏骤停和室性心动过速为特征的恶性血管迷走反射综合征。因此，术中观察患者心率并及时处理血管迷走反射综合征尤为重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/00a94e77d4e8/fcvm-10-1150011-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/63611b89914b/fcvm-10-1150011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/91fe96d0dfd9/fcvm-10-1150011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/5389515281cb/fcvm-10-1150011-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/ff3253087f97/fcvm-10-1150011-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/00a94e77d4e8/fcvm-10-1150011-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/63611b89914b/fcvm-10-1150011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/91fe96d0dfd9/fcvm-10-1150011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/5389515281cb/fcvm-10-1150011-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/ff3253087f97/fcvm-10-1150011-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2a7/10352606/00a94e77d4e8/fcvm-10-1150011-g005.jpg

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Intensive Care Med. 2023 Feb;49(2):237-238. doi: 10.1007/s00134-022-06929-1. Epub 2022 Nov 23.
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Delayed Vasovagal Reaction with Reflex Syncope Following COVID-19 Vaccination.接种 COVID-19 疫苗后出现血管迷走性反应延迟伴反射性晕厥。
Intern Med. 2022 Jul 15;61(14):2167-2170. doi: 10.2169/internalmedicine.9318-21. Epub 2022 May 14.
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Brugada syndrome and syncope: a practical approach for diagnosis and treatment.
Brugada 综合征与晕厥：诊断与治疗的实用方法。
Europace. 2021 Jul 18;23(7):996-1002. doi: 10.1093/europace/euaa370.
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Vasovagal Reaction and Ischemic Colitis Following Blood Donation.献血后血管迷走神经反应与缺血性结肠炎
Intern Med. 2020 Jun 15;59(12):1515-1517. doi: 10.2169/internalmedicine.4219-19. Epub 2020 Mar 19.
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Vagus Nerve Stimulation and the Cardiovascular System.迷走神经刺激与心血管系统。
Cold Spring Harb Perspect Med. 2020 Feb 3;10(2):a034173. doi: 10.1101/cshperspect.a034173.
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Autonomic Nervous System Dysfunction: JACC Focus Seminar.自主神经系统功能障碍：美国心脏病学会焦点研讨会
J Am Coll Cardiol. 2019 Mar 19;73(10):1189-1206. doi: 10.1016/j.jacc.2018.12.064.
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Pharmacological Modulation of Vagal Nerve Activity in Cardiovascular Diseases.心血管疾病中心迷走神经活动的药物调节。
Neurosci Bull. 2019 Feb;35(1):156-166. doi: 10.1007/s12264-018-0286-7. Epub 2018 Sep 14.
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Safety Outcomes After Percutaneous Transcatheter Closure of Patent Foramen Ovale.经皮导管封堵卵圆孔未闭后的安全性结局
Stroke. 2017 Nov;48(11):3073-3077. doi: 10.1161/STROKEAHA.117.018501. Epub 2017 Sep 22.
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Electrocardiographic changes and arrhythmias following percutaneous atrial septal defect and patent foramen ovale device closure.经皮房间隔缺损和卵圆孔未闭封堵术后的心电图改变和心律失常。
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