心电图右束支传导阻滞合併晕厥8例报告  

Syncope combined with right bundle branch block as the initial presentation of a highly degree of atrioventricular block

作　　者：郝蓬[1] 张英川[1] 郭成军[1] 柳景华[1] 方东平[1] 赵东辉[1] 刘冰[1] 汪国忠[1] 李果[1] 何东方[1] 卢春山[1] 刘兴鹏[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心内科21病房,北京100029

出　　处：《心肺血管病杂志》2012年第2期184-185,共2页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:分析8例以晕厥及右束支传导阻滞(RBBB)为首发表现的高度房室传导阻滞患者的临床特征及治疗效果。方法:回顾性分析于1999年1月至2009年12月间以晕厥原因待查而在我院接受住院治疗的连续217例患者的病历资料。结果:217例患者入院心电图呈现完全性右束支传导阻滞(CRBBB)有33例(15.2%)。该33例患者在后续的1次或多次动态心电图检查中,有8例(24.2%)检出有一过性Ⅱ°或高度房室传导阻滞。8例患者均行起搏器置入治疗,术后随访(104±8.9)个月,所有患者晕厥症状均消失。结论:对于心电图表现为RBBB的晕厥患者需要进一步排除高度或Ⅲ°房室传导阻滞的可能性。Objective：We sought to summarize the clinical features and treatment of 8 patients presenting with syncope in whom the advanced atrioventricular block was veiled by right bundle branch block.Methods：The data of 217 consecutive patients with unknown syncope who referred to our hospital from January 1999 to December 2009 was analyzed retrospectively.Results：Of 217 patients,33（15.2%）presented with asymptomatically complete right bundle branch block.However,the transient highly second degree or third degree atrioventricular block was unveiled by ≥ 1 dynamic ECG examination in 8（24.2%） patients of them.All of these 8 patients underwent pacemaker implantation therapy.After a mean follow up of（104 ± 8.9） months,symptoms of was disappeared in all patients.Conclusions：In patients with unknown syncope and right bundle branch block,the possibility of highly second degree or third degree of atrioventricular block.

关 键 词：右束支传导阻滞 晕厥 起搏器 

分 类 号：R541.76[医药卫生—心血管疾病]