成功应用闭环刺激起搏器治疗浸润性颈动脉窦综合征。

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2025-07-01 DOI:10.1016/j.ipej.2025.08.006

Stefano Maffè, Paola Paffoni, Luca Bergamasco, Pierfranco Dellavesa

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引用次数: 0

摘要

64岁男性口咽癌复发晕厥和低血压，由于肿瘤压迫右颈动脉空间。尽管最初使用阿托品和液体复苏治疗，但患者继续出现晕厥前和低血压事件。在常规双室起搏器治疗失败后，使用闭环刺激（CLS）成功地解决了晕厥发作。本病例强调了CLS起搏治疗由颈动脉窦外源性肿瘤压迫引起的反射性晕厥的疗效。CLS算法通过检测晕厥前阶段和主动增加心率，在预防晕厥方面比传统起搏具有显著优势。

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Successful use of Closed Loop Stimulation pacemaker for carotid sinus syndrome due to infiltrating neck cancer

A 64-year-old male with oropharyngeal carcinoma experienced recurrent syncope and hypotension due to neoplastic compression of the right carotid space. Despite initial treatment with atropine and fluid resuscitation, the patient continued to experience presyncope and hypotensive events. After treatment with a conventional dual-chamber pacemaker failed, the use of closed-loop stimulation (CLS) successfully resolved the syncope episodes. This case highlights the efficacy of CLS pacing in managing reflex syncope caused by extrinsic neoplastic compression of the carotid sinus. The CLS algorithm, by detecting pre-syncopal phases and increasing heart rate proactively, offers a significant advantage over conventional pacing in preventing syncope.

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来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.