一个患有埃布斯坦异常的患者的永久性心脏起器介导的运动性低氧症
Ashish H Shah1, Nasir Shaikh1, Keivan Alizadeh1
1Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
JACC. Case reports
|April 22, 2024
概括
一个永久的起器不经意地保持了一个专利的形孔开放在一个患有埃布斯坦异常的病人. 这导致了右向左的血液循环,导致运动性低氧化,这是医学文献中的新发现.
科学领域:
- 心脏病学 心脏病学
- 医学案例报告 病例报告
背景情况:
- 埃布斯坦异常与心房间间际通讯和血液分流有关.
- 右心房压升高或三腹吐可能导致埃布斯泰恩异常的转移.
研究的目的:
- 报告一个独特的案例,一个永久的心脏起器保持一个专利的卵巢孔.
- 为了突出由此产生的右向左转移和运动性低氧化.
主要方法:
- 一个患有埃布斯坦异常的患者的病例介绍.
- 描述与心脏起器位和专利圆形形相关的发现.
主要成果:
- 一个永久的心脏起器被确定为开放的专利卵巢孔的原因.
- 这种解剖学变化导致了显著的右向左转移血液.
- 轮导致了患者的运动性低氧化症.
结论:
- 这是第一个报告的病例,心脏起器的保持了 patent foramen ovale.
- 这种机制可以导致敏感患者的悖论性栓塞和低氧化.
- 对这种并发症的认识对于管理患有埃布斯坦异常和心脏起器的患者至关重要.
相关概念视频
Acute Respiratory Failure-II
218
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
218
Pneumothorax-I
202
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
202
Hyperpnea and Hyperventilation
1.1K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
1.1K
Acute Respiratory Failure-III
184
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
184
Alterations in Respiration II
860
There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
860


