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宫内诊断与治疗高度房室传导阻滞：病例系列与文献综述

Intrauterine Diagnosis and Treatment of High-Grade Atrioventricular Block: A Case Series and Literature Review.

作者信息

Golbabaei Alireza, Alavi Moghaddam Elham Sadat, Naemi Mahsa, Mohammad Talebi Hooman

机构信息

Department of Perinatology and Fetal Cardiology Shariati Hospital, Tehran University of Medical Sciences Tehran Iran.

Obstetric and Gynecologist, Tehran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2025 Jun 3;13(6):e70551. doi: 10.1002/ccr3.70551. eCollection 2025 Jun.

DOI:10.1002/ccr3.70551
PMID:40469119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12133612/
Abstract

Early and timely intervention can restore normal fetal heart rhythm in cases of high-grade atrioventricular block without structural abnormalities. However, the presence of complications like cardiomyopathy significantly worsens the prognosis, despite aggressive treatment. Multidisciplinary care and close monitoring are essential to optimize maternal and fetal outcomes.

摘要

对于无结构异常的高度房室传导阻滞病例，早期及时干预可恢复正常胎儿心律。然而，尽管进行了积极治疗，但心肌病等并发症的存在会显著恶化预后。多学科护理和密切监测对于优化母婴结局至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/1c79a0d2d5c6/CCR3-13-e70551-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/52a4d6675e42/CCR3-13-e70551-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/33f59bbc61f1/CCR3-13-e70551-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/b8aa1202beab/CCR3-13-e70551-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/7e5b325ed480/CCR3-13-e70551-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/c6034e34e027/CCR3-13-e70551-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/68bf5aa4543b/CCR3-13-e70551-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/50a96a50a39c/CCR3-13-e70551-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/92810f6c5971/CCR3-13-e70551-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/caf762eb98c6/CCR3-13-e70551-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/55d33cbf4d97/CCR3-13-e70551-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/1c79a0d2d5c6/CCR3-13-e70551-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/52a4d6675e42/CCR3-13-e70551-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/33f59bbc61f1/CCR3-13-e70551-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/b8aa1202beab/CCR3-13-e70551-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/7e5b325ed480/CCR3-13-e70551-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/c6034e34e027/CCR3-13-e70551-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/68bf5aa4543b/CCR3-13-e70551-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/50a96a50a39c/CCR3-13-e70551-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/92810f6c5971/CCR3-13-e70551-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/caf762eb98c6/CCR3-13-e70551-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/55d33cbf4d97/CCR3-13-e70551-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/12133612/1c79a0d2d5c6/CCR3-13-e70551-g003.jpg

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本文引用的文献

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2
Advances in Fetal Cardiac Imaging and Intervention.胎儿心脏成像与干预的进展
CJC Pediatr Congenit Heart Dis. 2023 Nov 4;3(1):33-42. doi: 10.1016/j.cjcpc.2023.10.012. eCollection 2024 Feb.
3
Atrioventricular block in patients with hyperthyroidism: a narrative review.
甲状腺功能亢进患者的房室传导阻滞：叙述性综述。
J Int Med Res. 2024 Jan;52(1):3000605231223040. doi: 10.1177/03000605231223040.
4
Thyroid Function in Children with Cyanotic and Non-Cyanotic Congenital Heart Disease.患有青紫型和非青紫型先天性心脏病儿童的甲状腺功能
Turk Arch Pediatr. 2023 Nov;58(6):594-599. doi: 10.5152/TurkArchPediatr.2023.22277.
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Fetal Arrhythmia Diagnosis and Pharmacologic Management.胎儿心律失常的诊断与药物治疗。
J Clin Pharmacol. 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129.
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Permanent epicardial pacing in neonates and infants less than 1 year old: 12-year experience at a single center.1岁以下新生儿和婴儿的永久性心外膜起搏：单中心12年经验
Transl Pediatr. 2022 Jun;11(6):825-833. doi: 10.21037/tp-21-525.
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