Molina-Lopez Victor H, Gonzalez Burgos Benjamin A, Diaz-Rodriguez Porfirio E, Orraca-Gotay Antonio L, Rodriguez-Ospina Luis, Ortiz Cartagena Ismael
Cardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Cureus. 2024 Jun 27;16(6):e63315. doi: 10.7759/cureus.63315. eCollection 2024 Jun.
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.
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。