Ghosh Anindya, Sekar Anbarasan, Sriram Chenni S, Pandurangi Ulhas M
Department of Cardiac Electrophysiology and Pacing, Arrhythmia Heart Failure Academy The Madras Medical Mission Chennai India.
Division of Cardiology, Sub-Section of Electrophysiology Children's Hospital of Michigan and Detroit Medical Center Detroit Michigan USA.
J Arrhythm. 2023 Dec 13;40(1):156-159. doi: 10.1002/joa3.12968. eCollection 2024 Feb.
Isolated sinus node dysfunction with its pursuant long-term risk for atrioventricular (AV) conduction disease poses a unique dilemma for proponents of CSP due to paucity of imprimatur guidelines. In such scenarios, the risk and prognosis of iatrogenic AV block is not well elucidated but is a valid concern. We report a case where CSP was complicated by iatrogenic AV block and peculiarly the rare phenomenon of intra-Hisian Wenckebach.
孤立性窦房结功能障碍及其随之而来的发生房室传导疾病的长期风险，由于缺乏权威性指南，给心脏再同步化治疗（CSP）的支持者带来了独特的困境。在这种情况下，医源性房室传导阻滞的风险和预后尚未得到充分阐明，但这是一个合理的担忧。我们报告了一例CSP并发医源性房室传导阻滞的病例，特别罕见的是希氏束内文氏现象。
