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心脏神经消融术治疗高迷走神经张力性窦房结功能障碍

Cardioneuroablation for the Treatment of Hypervagotonic Sinus Node Dysfunction.

作者信息

Kochar Arshneel, Taigen Tyler, Courson Jeffery, Mayuga Kenneth, Nakhla Shady, Wazni Oussama, Santangeli Pasquale

机构信息

Department of Pacing and Electrophysiology, Cleveland Clinic, Cleveland, Ohio, USA.

出版信息

JACC Case Rep. 2024 Jan 9;29(4):102185. doi: 10.1016/j.jaccas.2023.102185. eCollection 2024 Feb 21.

DOI:10.1016/j.jaccas.2023.102185
PMID:38379643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10874895/
Abstract

Hypervagotonic sinus node dysfunction (SND) is a form of SND with sinus bradycardia caused by enhanced vagal tone. Indirect proof of hypervagotonia as the mechanism can be inferred from resolution of bradycardia following atropine infusion. In symptomatic patients, pacemaker implantation is recommended. We describe cardioneuroablation as a treatment for hypervagotonic SND.

摘要

迷走神经张力亢进型窦房结功能障碍（SND）是一种由迷走神经张力增强引起的伴有窦性心动过缓的SND形式。可通过输注阿托品后心动过缓的缓解来推断迷走神经张力亢进作为其机制的间接证据。对于有症状的患者，建议植入起搏器。我们描述了心脏神经消融术作为迷走神经张力亢进型SND的一种治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/1cc83064a983/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/f9bc70ce6826/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/3e1b62e1c2ee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/2a1c1658166a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/40a62e4c0453/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/1cc83064a983/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/f9bc70ce6826/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/3e1b62e1c2ee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/2a1c1658166a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/40a62e4c0453/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c56/10874895/1cc83064a983/gr4.jpg

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Innervation and Neuronal Control of the Mammalian Sinoatrial Node a Comprehensive Atlas.哺乳动物窦房结的神经支配和神经元控制——综合图谱。
Circ Res. 2021 Apr 30;128(9):1279-1296. doi: 10.1161/CIRCRESAHA.120.318458. Epub 2021 Feb 25.
3
Long-Term Evaluation of the Vagal Denervation by Cardioneuroablation Using Holter and Heart Rate Variability.
使用 Holter 监测和心率变异性评估心脏去神经支配的长期效果。
Circ Arrhythm Electrophysiol. 2020 Dec;13(12):e008703. doi: 10.1161/CIRCEP.120.008703. Epub 2020 Nov 16.
4
Postpartum Transient Hypervagotonic Sinus Node Dysfunction Leading to Sinus Bradycardia: A Case Report.产后短暂性高迷走神经性窦房结功能障碍导致窦性心动过缓：一例报告
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Simplified Method for Vagal Effect Evaluation in Cardiac Ablation and Electrophysiological Procedures.心脏消融和电生理手术中迷走神经效应评估的简化方法
JACC Clin Electrophysiol. 2015 Oct;1(5):451-460. doi: 10.1016/j.jacep.2015.06.008. Epub 2015 Aug 21.
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