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在全身性硬化症中怀孕后的电风暴:一个案例报告
Zahra Emkanjoo1, Samira Shirazi1, Farzad Kamali1
1Department of Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
Pacing and clinical electrophysiology : PACE
|December 13, 2023
概括
妊娠期间的全身性硬化症 (SSc) 可以导致心室性心力衰竭 (VT). 射频导管切除成功治疗了怀孕的SSc患者的静脉瘤,患者患有严重的心脏功能障碍.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 产科 产科 产科 产科 产科
背景情况:
- 系统性硬化症 (SSc) 是一种罕见的自身免疫性疾病,影响结缔组织.
- 心血管并发症,包括节拍不良,在SSc.中很常见.
- 患有SSc的女性的怀孕与母亲的不良结果有关.
研究的目的:
- 报告一个成功的射频导管切除病例,用于腹腔心动减速症在一个有系统性硬化症的孕妇.
- 为了突出怀孕期间SSc心血管并发症的管理.
主要方法:
- 一名19岁的女性已知SSc在怀孕期间和怀孕后出现了复发性心室低心率 (VT).
- 心声图显示严重的缩功能障碍,左心室喷射率 (LVEF) 为30%.
- 射频导管 (RF) 切除和可植入心脏转换器除器 (ICD) 植入是由于尽管医疗管理,但由于复发性静脉动而进行的.
主要成果:
- 射频导管切除成功进行治疗复发性心室动脉冲动.
- 尽管严重的左心室功能障碍,但患者的病情得到了管理.
结论:
- 射频导管切除是系统性硬化症孕妇腹腔动心的有效治疗方法.
- 怀孕期间SSc中复杂心脏病的管理需要多学科的方法.
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