静脉注射苯妥英钠后出现完全性房室传导阻滞伴心室停搏。

Complete atrioventricular block with ventricular asystole following infusion of intravenous phenytoin.

作者信息

Randazzo D N, Ciccone A, Schweitzer P, Winters S L

机构信息

Thomas Killip, MD, Division of Cardiology, Beth Israel Medical Center, New York, NY 10003, USA.

出版信息

J Electrocardiol. 1995 Apr;28(2):157-9. doi: 10.1016/s0022-0736(05)80287-0.

DOI:10.1016/s0022-0736(05)80287-0

PMID:7616148

Abstract

A case of complete atrioventricular block with ventricular asystole in a patient receiving intravenous phenytoin is presented. Although the potential for hypotension is generally recognized with the intravenous administration of phenytoin, conduction abnormalities are rarely reported. The differential diagnosis of atrioventricular block and the effects of phenytoin on cardiac conduction are discussed.

摘要

本文报告了一例在接受静脉注射苯妥英钠的患者中发生完全性房室传导阻滞并伴有心室停搏的病例。虽然静脉注射苯妥英钠时低血压的可能性已得到普遍认识，但传导异常却鲜有报道。本文讨论了房室传导阻滞的鉴别诊断以及苯妥英钠对心脏传导的影响。