• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatric Cardiology >Paroxysmal Atrioventricular Block in Young Patients1
【24h】

Paroxysmal Atrioventricular Block in Young Patients1

机译：青年患者阵发性房室传导阻滞1

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We describe 17 patients (8 girls, and 9 boys), aged 9.6 ± 5.7 years, with paroxysmal atrioventricular block (PAVB), a condition rarely described in children. Holter monitoring documented the PAVB in 15 patients, and tilt test was performed in 4 patients (positive in 1). The electrocardiograph (ECG) was normal in 7 patients. Two patients had acquired and 11 patients had congenital heart disease (CHD). Syncope or presyncope were present in 7 patients. A normal ECG was significantly more frequent in symptomatic patients. Pauses were significantly longer in girls and in children <5 years. PAVB was recorded only during nocturnal hours in 6 patients and throughout the day in the others. The sinus rate decreased during PAVB in 6 patients and increased in 4 (generally younger girls with symptoms). Permanent pacemakers were implanted in 13 patients, including 7 asymptomatic patients with CHD and severe bradycardia. During follow-up (3.7 ± 2.5 years), 1 patient developed complete AVB. Although PAVB was still present in 91% of paced patients, symptoms did not recur because pacing prevented the pauses. In conclusion, PAVB is a rare arrhythmia. Autonomic nervous system dysfunction seems to play an etiological role and permanent pacing was an effective treatment.
机译：我们描述了17例患者（8名女孩和9名男孩），年龄9.6±5.7岁，患有阵发性房室传导阻滞（PAVB），这种情况很少在儿童中描述。动态心电图监测记录了15例患者的PAVB，4例患者进行了倾斜试验（阳性1例）。 7例患者的心电图（ECG）正常。先天性心脏病（CHD）为2例，先天性心脏病（CHD）为11例。 7例患者出现晕厥或晕厥。有症状患者的正常心电图频率明显更高。女童和5岁以下儿童的停顿时间明显更长。仅在6例患者的夜间睡眠时间记录了PAVB，其他患者则全天记录了PAVB。在PAVB期间，有6例患者的窦窦率降低，有4例（通常是有症状的年轻女孩）的窦率增加。永久性起搏器植入了13例患者中，其中包括7例无症状的CHD和严重心动过缓患者。在随访期间（3.7±2.5年），有1名患者发展为完全性AVB。尽管91％的起搏患者中仍存在PAVB，但由于起搏阻止了停顿，因此症状并未复发。总之，PAVB是一种罕见的心律不齐。自主神经系统功能障碍似乎起病因作用，永久起搏是一种有效的治疗方法。

著录项

  • 来源
    《Pediatric Cardiology》 |2004年第5期|506-512|共7页
  • 作者

    M.S. Silvetti; G. Grutter; V. Di Ciommo; F. Drago;

  • 作者单位

    Cardiac Arrhythmias Service Cardiology and Heart Surgery Department Bambino Gesù Pediatric Hospital;

    Cardiac Arrhythmias Service Cardiology and Heart Surgery Department Bambino Gesù Pediatric Hospital;

    Cardiac Arrhythmias Service Epidemiology Unit Bambino Gesù Pediatric Hospital;

    Cardiac Arrhythmias Service Cardiology and Heart Surgery Department Bambino Gesù Pediatric Hospital;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Heart block; Syncope; Cardiac pacing; Autonomic nervous system; Pediatric age;

    机译：心脏传导阻滞;晕厥;心脏起搏;自主神经系统;小儿年龄;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号