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硫酸阿托品可能对恢复与心房颤动消融手术相关的冠状动脉痉挛中不稳定的血流动力学有效。

Atropine sulfate may be effective to recover the unstable hemodynamics in coronary artery spasms related to atrial fibrillation ablation procedures.

作者信息

Kawai Shunsuke, Okahara Arihide, Tokutome Masaki, Matsuura Hirohide, Mukai Yasushi

机构信息

Department of Cardiovascular Medicine Japanese Red Cross Fukuoka Hospital Fukuoka Japan.

出版信息

J Arrhythm. 2024 Jun 14;40(4):1013-1015. doi: 10.1002/joa3.13090. eCollection 2024 Aug.

DOI:10.1002/joa3.13090
PMID:39139870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11317650/
Abstract

Coronary artery spasms related to atrial fibrillation ablation procedures could cause lethal ventricular fibrillation or cardiopulmonary arrest. It may be useful to try intravenous atropine sulfate while preparing urgent coronary artery angiography in hemodynamically unstable coronary artery spasms cases to prevent development of the lethal arrhythmias.

摘要

与心房颤动消融手术相关的冠状动脉痉挛可能会导致致命的心室颤动或心肺骤停。在血流动力学不稳定的冠状动脉痉挛病例中，准备紧急冠状动脉血管造影时尝试静脉注射硫酸阿托品，以预防致命性心律失常的发生，可能是有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/6e295c2768a5/JOA3-40-1013-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/922c59ad5dcb/JOA3-40-1013-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/bae1cbf50176/JOA3-40-1013-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/6e295c2768a5/JOA3-40-1013-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/922c59ad5dcb/JOA3-40-1013-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/bae1cbf50176/JOA3-40-1013-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/11317650/6e295c2768a5/JOA3-40-1013-g004.jpg

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Atropine sulfate may be effective to recover the unstable hemodynamics in coronary artery spasms related to atrial fibrillation ablation procedures.硫酸阿托品可能对恢复与心房颤动消融手术相关的冠状动脉痉挛中不稳定的血流动力学有效。
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本文引用的文献

1
Perioperative coronary artery spasms in patients undergoing catheter ablation of atrial fibrillation.围手术期行导管消融术治疗心房颤动患者的冠状动脉痉挛。
J Interv Card Electrophysiol. 2022 Jun;64(1):77-83. doi: 10.1007/s10840-021-01089-6. Epub 2021 Nov 12.
2
Incidence and Characteristics of Coronary Artery Spasms Related to Atrial Fibrillation Ablation Procedures　- Large-Scale Multicenter Analysis.与心房颤动消融程序相关的冠状动脉痉挛的发生率和特征 - 大规模多中心分析。
Circ J. 2021 Feb 25;85(3):264-271. doi: 10.1253/circj.CJ-20-1096. Epub 2021 Jan 9.
3
Multiple coronary artery spasms triggering life-threatening ventricular arrhythmia associated with the radiofrequency ablation of ganglionated plexuses of the left atrium.
多支冠状动脉痉挛引发危及生命的室性心律失常，与左心房神经节丛的射频消融有关。
J Cardiol Cases. 2018 Jan 17;17(4):133-136. doi: 10.1016/j.jccase.2017.12.004. eCollection 2018 Apr.
4
Ventricular fibrillation associated with multi-vessel coronary spasms following radiofrequency ablation of atrial fibrillation and atrial flutter.心房颤动和心房扑动射频消融术后与多支冠状动脉痉挛相关的心室颤动
Europace. 2014 Jul;16(7):1060. doi: 10.1093/europace/eut404. Epub 2014 Jan 19.
5
Bezold-Jarisch-like reflex during Brockenbrough's procedure for radiofrequency catheter ablation of focal left atrial fibrillation: report of two cases.在局灶性左心房颤动的射频导管消融术的布罗肯布罗夫手术过程中出现的类贝佐尔德-雅里什反射：两例报告。
J Interv Card Electrophysiol. 2003 Jun;8(3):195-202. doi: 10.1023/a:1023917221763.