宫髓创伤患者心脏起器诱导的呼吸暂停:一个病例报告
Margot Kaufmann1, Damian Ratano2, Etienne Pruvot3,4
1Department of Cardiology, Lausanne University Hospital, Rue du Bugnon 46, Lausanne 1011, Switzerland.
European heart journal. Case reports
|December 8, 2025
概括
在患有高椎脊髓损伤的患者中,在心脏起器植入期间发生了一例罕见的节奏诱导性呼吸暂停. 耳前的放置被调整以解决呼吸暂停,可能是由迷走神经刺激引起的.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- 神经捕获是心脏起器 (PM) 植入的已知并发症.
- 之前没有报道过在PM植入过程中导致呼吸暂停的神经刺激.
- 这一案例突出了一个独特的节奏诱导性呼吸暂停的例子.
研究的目的:
- 报告在心脏起器植入期间出现独特的呼吸暂停病例.
- 为了研究神经刺激的潜在机制.
- 强调在患有高部损伤的患者中考虑这种现象.
主要方法:
- 一名65岁的男性患有C3-C4脊髓损伤和完全心脏阻塞,经历了双室除器植入.
- 在心房测试期间观察到呼吸暂停,由心房捕获触发.
- 对心房进行了重新定位,以解决呼吸暂停.
主要成果:
- 患者经历了由心房捕获可重复触发的突然呼吸暂停.
- 重置心房线成功解决了呼吸暂停.
- 在转移后没有观察到呼吸暂停的复发.
结论:
- 在患有椎脊髓创伤的患者中植入双腔除器可能会导致与心房捕获相关的呼吸暂停.
- 这可能是由于无意的迷走神经刺激,抑制脑干的呼吸中心.
- 这种罕见的现象应在接受心脏起器植入的患有高部损伤的患者中考虑.
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