一例因心室不同步导致的心源性休克，通过心房起搏缓解了病情

Q4 Medicine

Journal of Cardiology Cases Pub Date : 2024-04-01 DOI:10.1016/j.jccase.2023.10.006

Teja S. Chakrala MD , Roshni O. Prakash MD , Sahil Prasada MD , Wytch R. Rigger MD , Juan Vilaro MD

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引用次数: 0

摘要

我们介绍了一例患有缺血性心肌病并使用单腔植入式心律转复除颤器的男性患者，他因窦性停搏而突然依赖右心室起搏。学习目标建立对心源性休克处理的基本认识。强化与右心室起搏相关的不良反应。

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A case of cardiogenic shock due to ventricular dyssynchrony resolved by atrial pacing

We present a case of a man with ischemic cardiomyopathy and single chamber implantable cardioverter-defibrillator who developed sinus arrest creating sudden dependence on right ventricular (RV) pacing. He presented with cardiogenic shock secondary to abrupt onset ventricular dyssynchrony from RV pacing, which required emergent stabilization and completely resolved with atrial pacing.