由于移位的自动植入式心脏除器 (AICD) 导致右心室自由壁破裂
Abhinav K Rao1, Craig Herrforth1, Angeli Patel1
1Internal Medicine, Trident Medical Center, North Charleston, USA.
Cureus
|February 29, 2024
概括
植入式心脏转移器除器 (ICD) 穿孔可能导致心室自由壁破裂. 这一案例突显了一个患有特定风险因素的患者的罕见并发症,强调在ICD植入过程中需要仔细考虑.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 植入式心脏转移器除器 (ICD) 对于管理危及生命的心律失常至关重要.
- 以穿孔为次要的心室自由壁破裂是ICD植入的罕见但严重的并发症.
- 发病率从0.1%到3%不等,有几种已识别的风险因素.
研究的目的:
- 为了呈现出由于ICD孔而导致心室自由壁破裂的临床病例.
- 讨论患者的特定风险因素和临床表现.
- 为了强调识别和管理这种罕见并发症的重要性.
主要方法:
- 病例报告详细介绍了一名73岁的女性患者.
- 患者病史包括大动脉狭窄,透管大动脉置换 (TAVR) 和心房动 (AFib).
- 患者经历了心室动停止,需要ICD植入,随后发生穿孔.
主要成果:
- 患者呈现出风险因素,包括女性性别,年龄和TAVR病史.
- 静脉动停止发生在TAVR后,导致ICD植入.
- 案件的高潮是穿孔,这是一个已知的但不常见的并发症.
结论:
- 这个案例说明了ICD穿孔的罕见并发症,该并发症发生在患有多种并发症的患者身上.
- 了解穿孔的预测因素对于降低风险至关重要.
- 对于患有这种并发症的患者来说,迅速识别和管理至关重要.
相关概念视频
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Dysrhythmias III: Characteristics of Dysrhythmias
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Cardiopulmonary Resuscitation III: AED Use
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Cardiomyopathy V: Interprofessional Care
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


