Siamkouris Dimitrios, Offers Elmar, Schloesser Marc, Ilieski Gjoko, Tzikas Stergios
Department of Cardiology, Dreifaltigkeits Hospital Lippstadt, Germany, Academic Teaching Hospital of Westfaelische Wilhelms University Muenster, Muenster, Germany.
3rd Department of Cardiology, Ippokrateio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Case Rep Cardiol. 2023 Aug 19;2023:6676757. doi: 10.1155/2023/6676757. eCollection 2023.
Conduction restoration in second- and third-degree atrioventricular (AV) block after revascularization in acute coronary syndrome (ACS) setting is well established, however this is not the case in non-ACS setting. We present a case of a patient referred for permanent pacemaker implantation, due to high degree AV block (HAVB), who restored his conduction possibly due to targeted revascularization. Thus, this case sheds insight in the reversibility potential of HAVB after revascularization in non-ACS patients, which although signified in current literature, is still far from being a recommendation, due to lack of robust scientific confirmation.
急性冠状动脉综合征（ACS）患者血管重建术后二度和三度房室（AV）传导阻滞的传导恢复已得到充分证实，但在非ACS患者中并非如此。我们报告了一例因高度房室传导阻滞（HAVB）而被转诊进行永久性起搏器植入的患者，该患者可能由于靶向血管重建而恢复了传导。因此，该病例为非ACS患者血管重建后HAVB的可逆性潜力提供了见解，尽管目前文献中有相关提示，但由于缺乏有力的科学证实，仍远不能成为一种推荐。
