一例 TAVI 术后病例：左室间隔筋膜阻滞和右束支阻滞

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of electrocardiology Pub Date : 2024-11-21 DOI:10.1016/j.jelectrocard.2024.153827

Gustavo Goldenberg , Shyla Gupta , Nili Schamroth Pravda , Andrés Ricardo Pérez-Riera , Adrian Baranchuk

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引用次数: 0

摘要

本文描述了一例 TAVI 术后患者出现左室间隔筋膜阻滞（LSFB）和右束支阻滞（RBBB）的病例。鉴于完全性房室传导阻滞和心脏性猝死的风险可能增加，必须积极寻找这种组合。经导管主动脉瓣置换术后出现 RBBB 的情况非常罕见，并且与完全性房室传导阻滞和永久性起搏器植入有关。心电图上的 LFSB 可能是 TAVI 术后弥漫性传导系统损伤的替代指标。因此，对于在 TAVI 术后出现新的 RBBB 和 LSFB 的患者，永久起搏的阈值应较低。

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A Case of Post-TAVI: Left Septal Fascicular Block & Right Bundle Branch Block

This paper describes a case of patient post-TAVI who developed Left Septal Fascicular Block (LSFB) and Right Bundle Branch Block (RBBB). This combination has not been previously reported and must be actively sought out, given the possible increased risk of complete atrioventricular block and sudden cardiac death. RBBB following transcatheter aortic valve replacement is rare and is associated with complete atrioventricular block and permanent pacemaker implantation. LFSB on ECG may be a surrogate maker of diffuse conduction systemic damage following TAVI. Therefore, there should be a low threshold for permanent pacing in patients who develop new RBBB and LSFB post-TAVI.

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来源期刊

Journal of electrocardiology 医学-心血管系统

CiteScore

2.70

自引率

7.70%

发文量

152

审稿时长

38 days

期刊介绍： The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.