Transient Supine-Induced Advanced Heart Block in an Octogenarian.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Lakshmipathi Peram, Priya Ramcharan, Matthew Maharaj, Arun Katwaroo, Stephanie Battersby, Valmiki Seecheran, Rajeev Seecheran, Naveen Seecheran
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引用次数: 0

Abstract

Atrioventricular block (AVB) is a conduction disorder that can lead to significant bradyarrhythmias with resultant hemodynamic compromise and cardiogenic shock. While most cases of positional AVB that occur during erect posture are attributed to neurocardiogenic mechanisms, complete AVB occurring exclusively in the supine position is an exceedingly rare phenomenon. We present a case of an 87-year-old Caribbean Black male who presented with symptomatic supine-induced advanced heart block, which transiently resolved during standing with unremarkable comprehensive investigations and subsequently underwent successful dual-chamber permanent pacemaker implantation. The clinician should be cognizant of assessing positional vital signs with telemetric monitoring in patients presenting with idiopathic bradyarrhythmias and presyncope.

一名八旬老人短暂仰卧诱发的晚期心脏传导阻滞。
房室传导阻滞(AVB)是一种传导障碍,可导致明显的慢速心律失常,从而导致血流动力学损害和心源性休克。虽然大多数发生在直立姿势的体位性AVB归因于神经心源性机制,但完全发生在仰卧位的AVB是一种极其罕见的现象。我们报告了一位87岁的加勒比黑人男性,他表现出症状性仰卧诱发的晚期心脏传导阻滞,在站立时短暂解决,并进行了不显著的综合检查,随后成功地进行了双腔永久性起搏器植入。临床医生应该认识到,在特发性慢速心律失常和晕厥前期患者中,通过遥测监测来评估体位生命体征。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
165
审稿时长
12 weeks
期刊介绍: The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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