无导线起搏器植入术后使用近传导系统起搏的一过性 2:1 房室传导阻滞

IF 0.8 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Texas Heart Institute journal Pub Date : 2024-04-02 DOI:10.14503/thij-23-8268

Salim N. Najjar, Michael A. Bruno, Wilson W. Lam

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引用次数: 0

摘要

本报告讨论了一例无导联右心室起搏器植入术后 4 小时出现一过性 2:1 房室传导系统起搏阻滞的病例，该患者 19 岁，曾有心源性晕厥和心跳骤停病史，但无房室传导阻滞。房室传导阻滞已自行缓解。起搏形态提示为右束支起搏。2:1 房室传导阻滞和传导系统起搏以前都没有报道过右室无导联起搏器植入术的结果。该报告表明，使用无导联设备可以实现传导系统起搏。有必要进一步研究与有意右室无导联传导系统起搏相关的技术、局限性和并发症。

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Transient 2:1 Atrioventricular Block with Peri-Conduction System Pacing After Leadless Pacemaker Implantation

This report discusses a case of transient 2:1 atrioventricular block with conduction system pacing 4 hours after leadless right ventricular pacemaker implantation in a 19-year-old patient with a history of cardioinhibitory syncope and asystole cardiac arrest but without preexisting atrioventricular block. The atrioventricular block was resolved spontaneously. Pacing morphology was suggestive of right bundle branch pacing. Neither 2:1 atrioventricular block nor conduction system pacing has previously been a reported outcome of right ventricular leadless pacemaker implantation. The report demonstrates that conduction system pacing with leadless devices is achievable. Further study of techniques, limitations, and complications related to intentional right ventricular leadless conduction system pacing is warranted.

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来源期刊

Texas Heart Institute journal 医学-心血管系统

CiteScore

1.10

自引率

11.10%

发文量

131

审稿时长

2 months

期刊介绍： For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor