在患有术后心房静脉阻塞的儿科患者中节奏
Jeffrey A Robinson1, Guillaume Leclair2, Carolina A Escudero3
1Department of Pediatrics, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA; Pediatric Cardiac Electrophysiology, The Criss Heart Center, Children's Hospital and Medical Center, 8200 Dodge Street, Omaha, NE 68114, USA.
Cardiac electrophysiology clinics
|October 21, 2023
概括
对先天性心脏病的手术可能会影响心律,导致心房关节 (AV) 阻塞. 大多数患者恢复了AV节点功能,但持久性阻塞需要永久的心脏起器植入以防止死亡.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 电子生理学 电子生理学
背景情况:
- 先天性心脏病手术可以扰乱心房 (AV) 节点传导.
- 手术后的 AV 阻塞是这些手术后的潜在并发症.
研究的目的:
- 在先天性心脏病手术后概述AV阻塞的管理和预后.
- 定义永久心脏起器植入在持续的术后AV阻塞的标准.
主要方法:
- 对先天性心脏病患者的临床结果和节奏要求的审查.
- 分析AV节点功能恢复的时间和干预的指示.
主要成果:
- 大多数患者经历了AV节点功能的早期恢复,只需要暂时的节奏.
- 持续的AV阻塞超过7-10天需要永久的心脏起器植入,因为死亡风险.
- 一部分患者可能会出现晚期恢复的AV节点功能.
结论:
- 在先天性心脏病手术后,早期识别和管理AV阻塞至关重要.
- 永久性节奏是适用于持续的AV阻塞,以减轻死亡风险.
- 对于未解决的术后AV阻塞患者,需要终身节奏疗法.
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