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与起搏器相伴:病态窦房结综合征的一份自传体病例报告

Married to the Pacemaker: An Autobiographical Case Report of Sick Sinus Syndrome.

作者信息

Khan Shafee M

机构信息

Respiratory Medicine, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Deemed to be University, Nagpur, IND.

出版信息

Cureus. 2024 Apr 11;16(4):e58017. doi: 10.7759/cureus.58017. eCollection 2024 Apr.

Abstract

I, the author of this case report, was on beta blockers, initially atenolol and later on nebivolol, for my "systemic hypertension" illness. After attending the National Pulmonary Conference, I fell during the return journey on the express highway, became unconscious, and reached the tertiary care hospital of the medical college at the end of the day. The electrocardiogram was suggestive of a "complete heart block.". They immediately implanted a temporary pacemaker and transferred me to the cardiac care unit. I was discharged after five days of stay in the hospital, as the Holter study concluded to be normal. After about two weeks, I felt lightheadedness and giddiness for a fraction of a second. An eminent senior cardiologist in my hometown advised Holter's study; this time, it was suggestive of long pauses. A permanent pacemaker was implanted with the diagnosis of sick sinus syndrome. This autobiographical case report hopes to shed light on more advanced cardiac screening in the search for the etiology of clinical symptoms.

摘要

我,本病例报告的作者,因“系统性高血压”疾病,起初服用阿替洛尔,后来服用奈必洛尔。参加全国肺部会议后,在返程高速公路上摔倒,失去意识,当天傍晚被送至医学院的三级护理医院。心电图显示为“完全性心脏传导阻滞”。他们立即植入了临时起搏器,并将我转至心脏监护病房。住院五天后出院,因为动态心电图检查结果正常。大约两周后,我瞬间感到头晕目眩。家乡一位著名的资深心脏病专家建议进行动态心电图检查;这次检查结果显示有长时间的心跳停顿。最终诊断为病态窦房结综合征,并植入了永久性起搏器。这份自传体病例报告希望能为寻找临床症状病因的更高级心脏筛查提供线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ff/11087878/04de09c14aff/cureus-0016-00000058017-i01.jpg

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