临时双腔起搏治疗急性心肌梗死并三度房室传导阻滞后急性心力衰竭患者一例报道  

Temporary Dual Chamber Pacing in the Treatment of Acute Heart Failure after Acute Myocardial Infarction Combined with Third-degree Atrioventricular Block: a Case Report

作　　者：王家琦 齐晓勇[2] 张飞飞[2] WANG Jiaqi;QI Xiaoyong;ZHANG Feifei(Graduate School of Hebei North University,Zhangjiakou 075000,China;Department of Cardiology,Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北北方学院研究生院,河北省张家口市075000 [2]河北省人民医院心血管内科,河北省石家庄市050051

出　　处：《实用心脑肺血管病杂志》2021年第11期129-131,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河北省自然科学基金资助项目(H2020307017)。

摘　　要：急性下壁心肌梗死患者容易合并缓慢型心律失常,特别是三度房室传导阻滞。临时起搏器是治疗心肌梗死合并缓慢型心律失常的有效方法之一,可实现心脏房室运动的同步性、改善患者心功能。本文报道了1例急性心肌梗死合并三度房室传导阻滞患者行血运重建无明显效果,之后患者发生了急性心力衰竭,应用临时右心房、右心室双腔起搏治疗效果较好,以期为复杂心肌梗死患者的治疗提供参考。The patients with acute inferior wall myocardial infarction is easy to be complicated with bradyarrhythmia,especially third-degree atrioventricular block. Temporary pacemaker is one of the new effective methods in treating myocardial infarction with bradyarrhythmia, which can realize the synchronization of cardiac atrioventricular movement and improve the cardiac function of patients. This paper reports that revascularization has no obvious effect in a patient with acute myocardial infarction complicated with third-degree atrioventricular block. After that, the patient developed acute heart failure. The effect of temporary right atrial and right ventricular dual chamber pacing is better, in order to provide reference for the treatment of patients with complex myocardial infarction.

关 键 词：心肌梗死 心力衰竭 双腔起搏治疗 病例报告 

分 类 号：R542.22[医药卫生—心血管疾病] R541.62[医药卫生—内科学]