Rosen K L, Cameron R W, Bigham P J, Neish S R
Department of Pediatrics, Fitzsimons Army Medical Center, Aurora, Colorado 80045, USA.
Tex Heart Inst J. 1997;24(4):372-5.
A 15-year-old boy presented with exercise intolerance and near syncope. Electrocardiography showed 3rd-degree atrioventricular block. He was treated emergently with temporary transvenous ventricular pacing. Two-dimensional echocardiography revealed hypertrophic cardiomyopathy. Subsequently, a permanent, transvenous, dual-chamber pacemaker was implanted. Hypertrophic cardiomyopathy rarely causes complete atrioventricular block. It is particularly unusual for the presenting symptoms of hypertrophic cardiomyopathy to be caused by atrioventricular block. The case report is followed by a review of the pediatric literature on hypertrophic cardiomyopathy with atrioventricular block.
一名15岁男孩出现运动不耐受和接近晕厥的症状。心电图显示三度房室传导阻滞。他接受了紧急临时经静脉心室起搏治疗。二维超声心动图显示肥厚型心肌病。随后，植入了永久性经静脉双腔起搏器。肥厚型心肌病很少导致完全性房室传导阻滞。肥厚型心肌病以房室传导阻滞为首发症状尤其罕见。病例报告之后是对小儿肥厚型心肌病合并房室传导阻滞相关文献的综述。
