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Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
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由心房动症复杂的先天性完整心脏阻塞诊断和管理
Ali A Alakhfash1, Abdulrahman Almesned1, Abdullah Alqwaiee1
1Pediatric Cardiology Department, Prince Sultan Cardiac Centre-Qassim, Ministry of Health, Saudi Arabia.
Journal of the Saudi Heart Association
|October 4, 2023
概括
婴儿的先天性完全心脏阻塞,与母亲的Sjogren有关.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 免疫学 免疫学 免疫学
背景情况:
- 先天性完全心脏阻塞 (CCHB) 是一种罕见的疾病,通常与母亲的自身抗体有关,特别是Anti-Ro.
- 母亲患Sjogren综合征是新生儿中CCHB的已知危险因素.
- 新生儿心脏功能和潜在的心律失常需要仔细监测.
研究的目的:
- 描述被诊断为子宫内CCHB的儿童的临床过程.
- 记录CCHB患者心房的管理和结果.
- 突出母亲Sjogren综合征,Anti-Ro抗体和新生儿心脏病之间的关联.
主要方法:
- 在产前诊断CCHB.
- 产后心声扫描以评估心脏结构和短路.
- 新生儿胸的管理.
- 选择性电动心脏转换用于17个月的心房动.
- 一年临床和心电图随访.
主要成果:
- 婴儿在子宫内被诊断患有CCHB,出生时患有显著的胸肌梗塞 (55-60次/小时).
- 心声扫描显示,心脏结构正常,心房隔膜缺陷和动脉通道缺陷.
- 在17个月时发展出心房,用电动心脏转换成功治疗.
- 在一年的随访期间,没有观察到心房的复发.
结论:
- 患有CCHB的新生儿需要对心律失常进行警监测.
- 像Sjogren综合征这样的母体自身免疫疾病会影响胎儿的心脏健康.
- 早期干预,包括心脏转变,可以有效地管理患有CCHB的婴儿的脑上上心动节律失常症.
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