摘要
1病例资料患者,女,61岁,2015年12月以"活动后胸闷、气促3年余,再发加重1个月"为主诉入院。既往体健。患者3年前无明显诱因反复出现活动后胸闷、气促,不影响日常生活。1年前出现胸骨后及心前区胀痛,可放射至后背,伴心悸、乏力、多汗,持续半小时缓解。半年前胸闷、气促症状较前加重,轻微活动后即可出现,夜间不能平卧,伴咳嗽、咳白痰。入院后体检:双肺呼吸音粗,可闻及散在湿性。
A 61-year-old female was admitted due to chest distress,shortness of breath for more than 3 years and become worse in a month with normal left ventricular ejection fraction(LVEF).The primary diagnoses were third degree atrioventricular block and cardiac sarcoidosis.After implantation of dual chamber pacemaker(DDD mode),the cardiac function of the patient rapidly deteriorated.Two months after the implantation,and the patient appeared disturbance of consciousness with LVEF declined to 31%.After mechanical ventilation,pharmaceutical therapy and changing the pacemaker mode from DDD to VVI,the patient got through danger.Afterwards,strict control of the ventricular rate was performed byβ-blocker and then the pacemaker mode was adjusted to DDD.Then the patient was discharged with a better condition.
作者
孙源君
刘鹏
孙伟
吴宗磊
任永奎
尹晓盟
黄日红
SUN Yuanjun;LIU Peng;SUN Wei;WU Zonglei;REN Yongkui;YIN Xiaomeng;HUANG Rihong(Department of Cardiology,the First Affiliated Hospital of Dalian Medical University,Dalian,Liaoning,116011,China)
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2018年第8期834-836,共3页
Journal of Clinical Cardiology
关键词
心脏结节病
三度房室传导阻滞
心力衰竭
起搏器
cardiac sarcoidosis
third degree atrioventricular block
heart failure
pacemaker