阴道神经刺激装置诱导的二度心脏阻塞和鼻暂停
Megan DeJong1, Badria Munir2,1, Farman Ali1
1Neurology, West Virginia University School of Medicine, Morgantown, USA.
Cureus
|August 11, 2025
概括
虚神经刺激 (VNS) 很少会导致严重的心律失常,包括鼻暂停和心脏阻塞,植入后的几年. 禁用VNS设备解决了这些危险的心律问题在一个耐火性患者.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
背景情况:
- 阴道神经刺激 (VNS) 是一种成熟的耐火性治疗方法.
- 来自VNS的并发症很少见,但潜在的不良影响需要持续调查.
研究的目的:
- 报告一种罕见的VNS诱导的心律失常病例.
- 突出考虑VNS作为患者新发性心脏事件的原因的重要性.
主要方法:
- 一个41岁的男性患有和VNS装置的病例报告.
- 渐进式和全球健康下降的临床表现.
- 诊断工作包括遥测,心电图,心声图和脑电图.
主要成果:
- 患者呈现频繁的鼻暂停和二级莫比茨II型心房阻塞.
- 在VNS设备停用后,症状完全消失.
- 在EEG上没有发现与事件相关的型活动.
结论:
- 心律不整,包括鼻腔暂停和心脏阻塞,是VNS的罕见但可能的并发症,可能发生在植入后的几年.
- 对于诊断VNS相关心脏事件的患者,需要高度的临床怀疑,这些患者呈现出新发病的昏迷或心脏病发作.
- 这一案例增加了与VNS治疗相关的罕见,可能危及生命的心脏事件的证据.
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