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房室传导系统射频消融术后起搏诱发的二尖瓣反流:病例报告及潜在机制

Pacing induced mitral regurgitation following radiofrequency ablation of the atrioventricular conduction system: case report and potential mechanism.

作者信息

Vanderheyden M, Nellens P, Andries E, Goethals M

机构信息

Cardiovascular Center OLV-Ziekenhuis, Aalst, Belgium.

出版信息

Chest. 1998 Dec;114(6):1776-9. doi: 10.1378/chest.114.6.1776.

DOI:10.1378/chest.114.6.1776
PMID:9872220
Abstract

We describe a patient with hemodynamic deterioration and worsening mitral regurgitation related to right ventricular apex pacing. Time-dependent changes in papillary muscle contraction as well as ventricular remodeling by right ventricular apex pacing might be responsible for this rare but serious complication.

摘要

我们描述了一名与右心室心尖部起搏相关的血流动力学恶化和二尖瓣反流加重的患者。乳头肌收缩的时间依赖性变化以及右心室心尖部起搏引起的心室重构可能是这种罕见但严重并发症的原因。

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