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经导管主动脉瓣置换术治疗重度主动脉瓣狭窄时的高度房室传导阻滞和尖端扭转型室速

High-Degree Atrioventricular Block and Torsades De Pointes in Severe Aortic Stenosis Treated With Transcatheter Aortic Valve Replacement.

作者信息

Molina-Lopez Victor H, Gonzalez Burgos Benjamin A, Diaz-Rodriguez Porfirio E, Orraca-Gotay Antonio L, Rodriguez-Ospina Luis, Ortiz Cartagena Ismael

机构信息

Cardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.

Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.

出版信息

Cureus. 2024 Jun 27;16(6):e63315. doi: 10.7759/cureus.63315. eCollection 2024 Jun.

Abstract

Severe aortic stenosis (AS) significantly elevates cardiovascular risk, predisposing patients to high-degree atrioventricular (AV) block and life-threatening tachyarrhythmias, including torsades de pointes (TdP). This case report presents a patient with severe AS who developed high-degree AV block and, subsequently, TdP, highlighting the interplay between bradycardia and mechanisms that trigger ventricular tachycardias. The case underscores the importance of identifying and managing these risk factors to improve patient outcomes.

摘要

严重主动脉瓣狭窄(AS)显著增加心血管风险,使患者易发生高度房室(AV)传导阻滞和危及生命的快速性心律失常,包括尖端扭转型室速(TdP)。本病例报告介绍了一名患有严重AS的患者,该患者发生了高度AV传导阻滞,随后又出现了TdP,突出了心动过缓和触发室性心动过速机制之间的相互作用。该病例强调了识别和管理这些风险因素以改善患者预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee08/11212835/dcbed9374947/cureus-0016-00000063315-i01.jpg

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