隐藏的温克巴赫现象在左捆分支与胸部疼痛相关
Marco Marino1, Gianluca Massaro1, Vincenzo Carbone2
1Division of Cardiology, Tor Vergata University of Rome, Rome, Italy.
JACC. Case reports
|June 20, 2025
概括
疼痛的左捆分支阻塞 (LBBB) 综合征导致由于间歇性LBBB的胸部疼痛. 这种罕见的疾病可能与温克巴赫现象有关,影响心肌收缩.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
背景情况:
- 疼痛的左捆分支阻塞 (LBBB) 综合征是胸痛的一个不常见的原因.
- 它的特征在症状发作期间间歇性LBBB.
研究的目的:
- 为了呈现一个痛苦的LBBB综合征病例.
- 探索胸痛与温克巴赫现象之间的诊断关系.
主要方法:
- 一个68岁的男性在跑步机测试期间感到胸痛的案例报告.
- 诊断基于胸痛和隐藏的温克巴赫现象在左捆分支之间的时间联系.
- 没有发现心肌缺血症.
主要成果:
- 患者的症状和电生理学发现表明了痛苦的LBBB综合征.
- 治疗包括增加β-阻断剂的定位.
结论:
- 这种综合征的胸痛归因于间歇性去极化障碍引起的心肌失调.
- 温克巴赫现象虽然很罕见,但可以引起间歇性LBBB并导致症状.
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