相关实验视频
Updated: Sep 15, 2025

06:14
Translational Rabbit Model of Chronic Cardiac Pacing
Published on: January 6, 2023
2.7K
节奏大流行:临时节奏的意想不到的结果
Sudipta Mondal1, Saikiran Kakarla1, Narayanan Namboodiri1
1Electrophysiology Division, Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology Thiruvananthapuram Kerala India.
Journal of arrhythmia
|July 18, 2025
概括
一个临时的节奏导管在跨导管大动脉植入过程中无意中穿透了腹腔间隔膜,捕获了左捆分支. 这是第一次在手术过程中报告这种罕见并发症.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 过导管大动脉植入 (TAVI) 是对大动脉狭窄的一种微创手术.
- 虽然很少见,但TAVI期间可能会出现并发症,影响心脏功能.
- 了解潜在的程序风险对于患者安全至关重要.
研究的目的:
- 报告TAVI期间第一例左束枝被节奏导管捕获的病例.
- 为了突出一个不寻常的并发症,涉及腹腔间隔膜穿孔.
- 讨论对程序监督和管理的影响.
主要方法:
- 病例报告,详细说明TAVI期间发生的特定临床事件.
- 使用临时节奏导管和诊断成像.
- 描述了导管穿孔和捕获的解剖路径.
主要成果:
- 成功完成了TAVI程序.
- 发生了临时节律导管对腹腔间隔膜的意外穿孔.
- 通过节奏导管捕获左束分支被证实.
结论:
- 左束枝捕获是TAVI的一个潜在的,尽管很少见的并发症.
- 如果出现这种并发症,迅速识别和管理是必不可少的.
- 这一案例强调了在TAVI程序期间保持警监控的重要性.
相关概念视频
Disturbances in Heart Rhythm
1.3K
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 heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
1.3K
Pulse rhythm
931
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
931
Dysrhythmias III: Characteristics of Dysrhythmias
124
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...
124
Cardiomyopathy VII: Pre and Post Operative Nursing Management
28
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
28
Dysrhythmias IV: Characteristics of Bradyarrhythmias
122
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...
122
Mechanism of Cardiac Arrhythmias
1.1K
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.
1.1K

