在心脏起器植入后发生多重静脉血栓的病例
Ashwin Jagadish1, Abhijith Paladugula1, Aditya Thakkar1
1Internal Medicine, East Tennessee State University James H. Quillen College of Medicine, Johnson City, USA.
Cureus
|November 29, 2023
概括
心脏起器植入可以导致上肢深静脉血栓塞 (UEDVT). 在最近接受了心脏起器的患者中,早期发现和治疗UEDVT至关重要,以防止严重的并发症.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 医学案例报告 病例报告
背景情况:
- 心脏起器对于治疗胆心梗塞和心脏阻塞至关重要.
- 上肢深静脉血栓塞 (UEDVT) 是心脏起器植入的潜在并发症.
- UEDVT可能导致严重的后果,如肺栓塞和肢体损失.
研究的目的:
- 在心脏起器植入后报告UEDVT病例.
- 强调在这个患者群体中识别和管理UEDVT的重要性.
主要方法:
- 一个88岁的男性的案例介绍.
- 详细描述UEDVT发展后节奏器放置的详细描述.
- 对抗凝血管理的审查.
主要成果:
- 患者在双室心脏起器植入后在左上肢多个静脉中发展了UEDVT.
- 开始使用氨酸的抗凝血疗法,其次是阿皮克萨班.
- 实现了UEDVT的成功管理.
结论:
- 心脏起器接受者有发展UEDVT的风险.
- 在带有心脏起器的患者中,UEDVT的及时诊断和治疗至关重要.
- 在心脏起器手术后,建议对UEDVT保持警.
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