带有延长PR间隔的伪心脏起器综合征:一个叙事性回顾
Julian Chestaro Feliz1, Priscilla Duran Luciano2, Nehemias Guevara1
1Department of Internal Medicine, SBH Health Systems, Bronx, New York, USA.
Pacing and clinical electrophysiology : PACE
|July 24, 2023
概括
伪心脏起器综合征 (PPMS) 是一种罕见的疾病,由于长时间的PR间隔,导致血液动力学不稳定. 本综述强调了其独特的原因和临床医生的管理策略.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 内部医学 内部医学
背景情况:
- 伪心脏起器综合征 (PPMS) 是一级AV阻塞的一种罕见并发症.
- 它的特点是长时间的PR间隔,导致心室心脏失调和血液动力学不稳定.
- 在没有植入心脏起器的情况下发生.
研究的目的:
- 描述一个独特的PPMS病例.
- 为临床诊断和管理提供PPMS的全面审查.
- 确定常见的病因和患者人口统计数据.
主要方法:
- 在PubMed,谷歌学者,EBSCO和Ovid MEDLINE上进行系统的文献搜索.
- 使用搜索字符串"伪心脏起器综合征"和"症状性一级AV阻塞".
- 包括病例报告和确定17个PPMS病例.
主要成果:
- 受影响最常见的年龄组是中年和年轻人 (平均年龄47岁).
- 心是最常见的呈现症状.
- 确定了四种主要病因:异常 (20%),炎症 (13%),阳性 (20%) 和双 AV 节点生理学 (DAVNP) (27% 主要,20% 摘除后).
结论:
- 治疗应根据具体病因来个性化.
- 由于DAVNP而没有AVNRT的PPMS的管理需要进一步澄清.
- 早期诊断和量身定制的治疗对于患有PPMS的患者至关重要.
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