在皮肤穿的过程中,ST片段的升高左心室尾关闭
Tatsuro Shoji1, Yukio Sato1, Daisuke Togashi1
1Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan.
JACC. Case reports
|February 21, 2024
概括
由于心房动而关闭左心房附属体,可能导致冠状动脉压缩,导致手术放弃. 这种并发症是通过ECG和心电图的发现在一个70岁的患者中确定的.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏成像 - - 心脏成像
背景情况:
- 心房动是一种常见的心律失常,需要预防中风.
- 左心房尾关闭是降低中风风险的抗凝药的替代方案.
- 设备相关的并发症虽然很少见,但需要仔细监测.
研究的目的:
- 在左心房附属体关闭期间报告冠状动脉压缩病例.
- 要强调心电图和食管横断心声图在识别这种并发症中的诊断效用.
主要方法:
- 一名70岁的患者患有心房动症,接受了左心房尾关闭.
- 程序内监测包括心电图和食道横断心声图.
- 过渡性低血压和ST-T波变化促使进一步调查.
主要成果:
- 设备植入导致过渡性低血压和ST-T波变化.
- 经食道回声心脏图显示冠状动脉流速升高.
- 这些发现表明设备诱导的冠状动脉压缩,导致手术放弃.
结论:
- 冠状动脉压缩是左心房尾关闭的潜在并发症.
- 使用心电图和心声回声学即时识别对于患者的安全至关重要.
- 这一案例强调了在设备植入过程中保持警监控的重要性.
相关概念视频
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
01:30Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...