冠状动脉疾病患者心脏起器诱导的心肌病:三例病例报告
Enes Elvin Gul1, Muhammad Salman Ghazni1, Gehad Gamal1
1Division of Cardiac Electrophysiology, Madinah Cardiac Centre, Madinah, Saudi Arabia.
The Journal of innovations in cardiac rhythm management
|February 2, 2024
概括
节奏诱导心肌病 (PICM) 即使有保存的射出分数,也可能影响冠状动脉疾病 (CAD) 的患者. 本报告讨论了三个案例,强调了对管理PICM在这个人群中的进一步研究的需要.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心肌病研究研究 心肌病研究
背景情况:
- 节奏诱导心肌病 (PICM) 的特征是由于慢性,高负荷的右心室节奏,左心室喷射率 (LVEF) 降低.
- 心脏再同步治疗 (CRT) 和导电系统节奏 (CSP) 是PICM的潜在管理策略.
- 急性心肌梗塞是已知的PICM预测因子,但对于冠状动脉疾病 (CAD) 和保存LVEF的患者的CRT/CSP缺乏指导方针.
研究的目的:
- 介绍和讨论在患有CAD和保存LVEF的患者中PICM的三个临床病例.
- 突出在这个特定的患者小组中管理PICM的挑战和考虑因素.
- 在潜在的冠状动脉疾病的背景下,为了解PICM做出贡献.
主要方法:
- 一系列案例报告.
- 对3名被诊断患有PICM的患者的临床综述.
- 在所述病例中分析节奏负担,LVEF变化和心脏病史.
主要成果:
- 在患有 CAD 病史且最初保持 LVEF 的患者中发现了三例 PICM .
- 这些病例说明了PICM的发生,尽管基线LVEF没有严重减弱.
- 这些发现表明,CAD可能是PICM发展的重要因素.
结论:
- 在患有CAD和保存LVEF的患者中,PICM可能会发生,这挑战了目前的理解.
- 需要进一步的研究,以建立最佳的节奏策略和CRT/CSP在患有PICM风险的CAD患者的指导方针.
- 这些病例报告强调了在冠状动脉疾病患者心肌病的临床评估中考虑节奏负担的重要性.
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