血管可能是由对心脏起器植入物过敏反应引起的
Naoshi Ito1, Shusuke Yagi2, Tomoko Takahashi3
1The Post-graduate Education Center, Tokushima University Hospital, Tokushima, Japan.
Journal of cardiology cases
|February 3, 2026
概括
金属过敏会导致血管,一种胀,心血管植入式电子设备的患者. 这种诊断应考虑手臂胀,即使是在心脏起器植入后数年.
科学领域:
- 心脏病学 心脏病学
- 过敏和免疫学 过敏和免疫学
- 生物材料科学 生物材料科学
背景情况:
- 金属过敏是医疗器械的一个问题,尽管的流行.
- 心血管植入式电子设备 (CIED) 可以引发不良反应,包括血管.
- 虽然很常见,但并不能消除过敏反应的风险.
研究的目的:
- 突出Angioedema作为CIEDs的潜在并发症.
- 强调在CIED植入后患有不明原因四肢胀的患者中考虑金属过敏的重要性.
- 在心脏起器电池更换后报告延迟血管的病例.
主要方法:
- 一个老年男性患者的病例报告,他的左臂胀反复复发.
- 在心脏起器电池更换后进行诊断评估.
- 在CIED病史背景下对血管的临床评估.
主要成果:
- 患者在初始心脏起器植入后10年经历了反复出现的左臂胀.
- 血管是在心脏起器电池更换后被诊断出来的.
- 这表明CIEDs和延迟过敏反应之间存在潜在的联系.
结论:
- 在患有CIED的患者手臂的差分诊断中应考虑血管内.
- 金属过敏会在设备植入后多年表现出来.
- 及时识别和诊断对于管理CIED相关的血管至关重要.
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