由于右心室步调导致的可逆双心室功能障碍,发生在先前接受过癌症治疗的患者身上
Sebastian Sanhueza1, Josefina Castillo2, David Chiliquinga3
1Cardiovascular Diseases Department, Pontificia Universidad Católica de Chile, Santiago, Chile; Electrophysiology Department, Hospital Sotero del Rio, Santiago, Chile; Electrophysiology Department, Hospital Clínico UC, Santiago, Chile.
JACC. Case reports
|November 14, 2025
概括
节奏诱导心肌病 (PICM) 可能是可逆的. 这种病例显示了显著的功能改善和双心脏功能恢复与优化的医疗治疗,当心脏重同步治疗不是一个选择.
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:
- 一名有乳腺癌病史的54岁妇女患有节奏诱导心肌病 (PICM).
- 她接受了包括化疗,手术和放射治疗在内的治疗.
- 由于三筋阻塞和双侧下静脉狭窄,PICM是在右心室节奏之后发展的.
研究的目的:
- 报告一个节奏诱导心肌病症 (PICM) 的病例.
- 突出PICM在医疗管理中的潜在可逆性.
主要方法:
- 进行了单腔心脏起器植入 (VDD模式).
- 患者出现心力衰竭和双心室缩功能障碍.
- 进行了冠状动脉血管造影和导管治疗.
主要成果:
- 静脉节奏是100%的,这是由于完全的心房静脉阻塞.
- 冠状动脉血管造影没有什么显著的.
- 导管检查显示,在没有约束性生理学的情况下,填充压力升高.
结论:
- 对于这个患者来说,心脏再同步治疗是不可行的.
- 优化的医疗治疗导致了显著的功能改善.
- 两管功能在6个月内恢复,表明PICM可逆性.
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