一名房颤患者突发心率减慢——可能的病因是什么？
A case of sudden slow heart rate in a patient with atrial fibrillation - what could be the possible cause?
作者信息
Goh Jin Yi, Siaw Carwen
机构信息
MBBS (IMU), MRCP (UK) Department of Medicine, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia. Email:
MD (UNPAD), Department of Family Medicine, Department of Medicine, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.
出版信息
Malays Fam Physician. 2023 Jul 25;18:41. doi: 10.51866/tyk.256. eCollection 2023.
General practitioners regularly encounter atrial fibrillation in their daily practice. A crucial cornerstone of its management includes prescribing anticoagulants and controlling the heart rate. Tachycardia or bradycardia often reflects an ongoing pathological process that should be addressed. Clues are frequently revealed through comprehensive history-taking, complete physical assessment and 12-lead electrocardiogram (ECG) interpretation at the bedside. Thus, early recognition of potential life-threatening arrhythmia in the outpatient setting will lead to appropriate clinical management. In this paper, we illustrate a sudden decrease in the heart rate of a patient with atrial fibrillation. We discuss the ECG interpretation, potential differential diagnoses and approach to clinical management.
全科医生在日常诊疗中经常会遇到心房颤动。其治疗的一个关键基石包括开具抗凝药物和控制心率。心动过速或心动过缓往往反映了一个持续的病理过程，需要加以处理。线索常常通过全面的病史采集、完整的体格检查以及床边12导联心电图（ECG）解读得以揭示。因此，在门诊环境中早期识别潜在的危及生命的心律失常将有助于进行适当的临床管理。在本文中，我们阐述了一名心房颤动患者心率的突然下降。我们讨论了心电图解读、潜在的鉴别诊断以及临床管理方法。
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