年轻患者中心阻塞的病因:中国的一项单中心研究
Jianhong Zheng1,2, Xin Chen2, Guanhao Luo2
1School of Medicine, South China University of Technology, Guangzhou, China.
Pacing and clinical electrophysiology : PACE
|September 9, 2024
概括
在中国,只有40%的60岁以下接受心脏起器治疗心房阻塞 (AVB) 的患者发现了原因,心脏手术并发症是最常见的. 在AVB中未知的病因和性别差异需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 内部医学 内部医学
背景情况:
- 心房静脉阻塞 (AVB) 通常被认为是老年人的退行性疾病.
- 然而,不同的病因在年轻人中导致AVB.
研究的目的:
- 确定60岁以下患者AVB的原因,需要在中国首次植入心脏起器.
- 调查AVB病因和表现的潜在性别特异性差异.
主要方法:
- 在广东省人民医院对AVB患者 (2010-2021) 的病历和诊断测试进行了回顾性审查.
- 对826名患者 (平均年龄47岁) 的分析,以确定AVB的病因因素.
主要成果:
- 在只有40.7%的病例中,AVB的病因被确定.
- 心脏手术并发症 (23.0%) 是主要原因,其次是心肌炎 (6.9%) 和心肌梗塞 (3.0%).
- 与心肌梗塞相关的AVB在男性中更为普遍,而女性更早接受节奏治疗. 男人也表现出更高的扩张性心肌病和心房动/动的比率.
结论:
- 在接受首次心脏起器植入的年轻患者中,AVB病例的很大一部分仍然没有确定的病因.
- 该研究强调需要进一步研究AVB的未知原因和观察到的性别差异.
相关概念视频
Disturbances in Heart Rhythm
918
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
918
Mechanism of Cardiac Arrhythmias
900
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
900
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
195
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
195


