在TAVR之后极其晚期的完整AV阻塞:心电图线索和纠正与左捆分支节奏
Ngoc Dung Kieu1, Cao Dat Tran1, Le Uyen Phuong Tran1
1Department of Arrhythmology, Cho Ray Hospital, Ho Chi Minh city, Vietnam.
过导管大动脉置换术 (TAVR) 后,可以出现晚发病的完全心房 (AV) 阻塞. 左束枝节奏 (LBBP) 为这些导电异常提供了生理解决方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 电子生理学 电子生理学
背景情况:
- 过导管大动脉置换 (TAVR) 与传导系统损伤有关.
- 在TAVR后晚期开始的心房静脉 (AV) 阻塞并没有很好地表征.
- 在TAVR后晚期AV阻塞的预测因素和时间需要进一步调查.
研究的目的:
- 报告一个罕见的TAVR后晚发完整AV阻塞病例.
- 突出延长节律监测对TAVR后ECG微妙变化的重要性.
- 评估左束枝节奏 (LBBP) 作为TAVR相关传导异常的治疗方法.
主要方法:
- 一个63岁男性的病例报告,在TAVR后17个月出现了完整的AV阻塞.
- 连续的心电图监测显示了渐进的导电异常 (LAFB,LBBB,AV阻塞).
- 电生理学研究和门诊监测.
- 用左捆分支节奏 (LBBP) 进行治疗.
主要成果:
- 在TAVR17个月后形成完整的AV阻塞,前面是微妙的心电图变化.
- 电生理学证实了显著的导电延迟.
- LBBP成功地纠正了导电异常,解决了症状,并显示了稳定的参数.
结论:
- 完整的 AV 阻塞可能在 TAVR 后异常晚出现.
- 微妙的心电图异常后TAVR保证警,长时间的节律监测.
- 对于TAVR相关的导电问题,LBBP是一种有效的生理节奏策略.
更多相关视频
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
06:57Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
Published on: January 31, 2019
相关概念视频
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Cardiac Catheterization III: Left Heart Catheterization
Electrocardiogram Fundamentals
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
Aortic Regurgitation IV: Nursing Management
