房室结间皮瘤导致的致命性心脏传导阻滞。

Fatal heart block due to mesothelioma of the atrioventricular node.

作者信息

Evans D W, Stovin P G

出版信息

Br Heart J. 1986 Dec;56(6):572-4. doi: 10.1136/hrt.56.6.572.

DOI:10.1136/hrt.56.6.572

PMID:3801252

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1216409/

Abstract

A fit young man of 23 was symptom free until the time of his death despite a narrow complex complete heart block, with resting heart rates down to 35 beats/min, that was first diagnosed when he was 10. The clinical diagnosis remained congenital heart block. Necropsy showed extensive infiltration of the atrioventricular node and proximal bundle by mesothelioma tissue. Pacing had not been advised because of his excellent exercise tolerance.

摘要

一名23岁的健康青年直到去世时都没有症状，尽管他患有窄QRS波型完全性心脏传导阻滞，静息心率低至35次/分钟，该情况在他10岁时首次被诊断出来。临床诊断仍为先天性心脏传导阻滞。尸检显示间皮瘤组织广泛浸润房室结和近端束支。由于他的运动耐量极佳，此前未建议进行起搏治疗。