常规结肠镜检查期间的过渡性完整心房阻塞:一种良性的阴道反射模仿传导系统疾病
Sebastian Hernandez Mejia1, Joud Fahed2, Rayna Isber3
1Internal Medicine/Cardiology, Richmond University Medical Center, New York, USA.
Cureus
|January 22, 2026
概括
在胃肠道手术期间过渡性完全心脏阻塞是罕见的,通常是由于阴道刺激. 这一案例凸显了这样的事件往往会自发地消失,防止像心脏起器植入等不必要的干预.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 医疗程序 医疗程序
背景情况:
- 在胃肠道 (GI) 程序期间完全心脏阻塞不常见,但显著.
- 从镇静或内镜操纵的阴道刺激是通常的原因.
- 这些阻塞通常会自发消失.
研究的目的:
- 在例行胃肠道内镜检查期间报告过渡性完全心脏阻塞病例.
- 强调识别阴道介导性心房门 (AV) 阻塞的重要性.
- 为了防止内在导电疾病的过度诊断和不必要的干预.
主要方法:
- 一个68岁的老妇人的病例报告.
- 在常规结肠镜和麻醉下上部内镜期间的监测.
- 在没有干预的情况下观察节律正常化.
主要成果:
- 在手术过程中,患者经历了暂时的完全心脏阻塞.
- 在手术后,她的心率自发地恢复正常.
- 没有需要药理疗法或节奏调节.
结论:
- 阴道介导的 AV 阻塞是在胃肠道手术过程中是一种良性的反射现象.
- 识别这种暂时性阻塞对于避免误诊至关重要.
- 意识可以防止不必要的评估和永久的起器植入.
相关概念视频
Bioequivalence Experimental Study Designs: Completely Randomized and Randomized Block Designs
241
Body:Bioequivalence experimental study designs are crucial methodologies used in evaluating and comparing the bioavailability of different drug products. These designs are categorized into various types: completely randomized, randomized block, repeated measures, cross and carry-over, and Latin square designs.Completely randomized designs involve randomly allocating treatments to all subjects participating in the experiment. This allocation is achieved by assigning unique random numbers to...
241
Endoscopic Procedures II: Colonoscopy
659
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
659
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
1.9K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
1.9K
The Micturition Reflex
2.6K
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
2.6K
Reflex Activity
3.0K
A reflex activity is an automatic, involuntary response to specific stimuli. It is a part of our survival mechanism, designed to protect us from potential harm. For example, when a bright light suddenly shines into our eyes, we instinctively close them or look away. This is a simple reflex activity orchestrated by the nervous system without conscious thought or effort.
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
3.0K
Somatic Spinal Reflexes
4.9K
Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
4.9K


