Hayabuchi Y, Matsuoka S, Nii M, Suzuya H, Kuroda Y
Department of Pediatrics, Tokushima University School of Medicine, Japan.
Clin Cardiol. 1998 Apr;21(4):302-3. doi: 10.1002/clc.4960210416.
Stokes-Adams attacks are fairly common in children with congenital complete heart block, but the occurrence of cerebral infarction is quite unusual. We present the case of a 13-year-old boy with congenital heart block and an embolic stroke involving the cerebral artery. Echocardiography revealed no valvular regurgitation, hypokinetic segments, mural thrombus, or myxoma. Electrocardiographic monitoring demonstrated good response of ventricular rate to exercise and no episodes of atrial or ventricular dysrhythmia. It is assumed that embolism occurred due to bradycardia.
斯托克斯－亚当斯发作在先天性完全性心脏传导阻滞患儿中相当常见，但脑梗死的发生却颇为罕见。我们报告一例13岁患有先天性心脏传导阻滞并发生涉及脑动脉的栓塞性中风的男孩。超声心动图显示无瓣膜反流、运动减弱节段、壁血栓或黏液瘤。心电图监测显示心室率对运动反应良好，且无房性或室性心律失常发作。推测栓塞是由心动过缓所致。
