Kuniyoshi R, Sosa E, Scanavacca M, Martinelli M, Magalhães L, Hachul D, Lewandowski A, Sarabanda A, Bellotti G, Pileggi F
Instituto do Coração, Hospital das Clínicas, FMUSP, San Paulo.
Arq Bras Cardiol. 1994 Aug;63(2):111-5.
We describe three cases of the pseudo-pacemaker syndrome. One of them due to selective fast pathway fulguration of atrioventricular nodal reentrant tachycardia and two others have occurred in spontaneous form. All cases were related with the presence of first-degree atrioventricular block and sinus node tachycardia. The treatment was done with complete atrioventricular block induction catheter ablation and permanent pacemaker implantation in two patients. In conclusion, the procedure of radiofrequency ablation to control AV nodal reentry tachycardia must preserve the fast nodal pathway in order to avoid the pseudo-pacemaker syndrome and this syndrome can spontaneously occur and must be considered during investigation of etiology of syncope.
我们描述了三例伪起搏器综合征。其中一例是由于房室结折返性心动过速的选择性快径路电灼术,另外两例为自发形式。所有病例均与一度房室传导阻滞和窦房结心动过速有关。两名患者接受了完全性房室传导阻滞诱导导管消融术和永久性起搏器植入术治疗。总之,控制房室结折返性心动过速的射频消融手术必须保留快结径路,以避免伪起搏器综合征,并且该综合征可自发发生,在晕厥病因调查中必须予以考虑。