获得性房室传导阻滞的病因学研究进展  

Research Progress in Etiology of Acquired Atrioventricular Block

作　　者：詹丹丹 王大英[2] 张良洁[3] ZHAN Dandan;WANG Daying;ZHANG Liangjie(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Cardiovascular Medicine,Shanghai University of Traditional Chinese Medicine Affiliated Putuo Hospital,Shanghai 200333,China;Outpatient Operating Room,Rizhao Hospital of Traditional Chinese Medicine,Rizhao 276899,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海中医药大学附属普陀医院心血管内科,上海200333 [3]日照市中医医院门诊手术室,山东日照276899

出　　处：《医学综述》2024年第3期333-338,共6页Medical Recapitulate

基　　金：国家自然科学基金(81403236)。

摘　　要：房室传导阻滞(AVB)是引起缓慢性心律失常的主要原因。其病因分为遗传性和获得性,其中获得性因素更为常见。近年来,对获得性AVB的病因学进行探讨发现,其病因复杂,主要包括冠心病、退行性疾病、感染性疾病、风湿性或自身免疫性疾病、浸润性疾病、自主神经功能异常、甲状腺功能减退、高钾血症等。因此,早期明确获得性AVB的病因至关重要,可为其治疗提供针对性策略,以改善预后。随着现代诊疗技术的发展,更多获得性AVB病因的发现将会为其治疗提供新思路。Atrioventricular block(AVB)is the main cause of bradyarrhythmias.Its etiology is categorized into hereditary and acquired,with acquired factors being more common.In recent years,the etiology of acquired AVB has been explored and found to be complex,mainly including coronary heart disease,degenerative disease,infectious diseases,rheumatic or autoimmune disease,invasive disease,autonomic nervous dysfunction,hypothyroidism,hyperkalemia,etc.Therefore,early identification of the etiology of acquired AVB is crucial,which can targeted strategies for its treatment to improve the prognosis.With the development of modern diagnostic and therapeutic technology,the discovery of more causes of acquired AVB will provide new ideas for its treatment.

关 键 词：获得性房室传导阻滞 病因 鉴别诊断 

分 类 号：R541.76[医药卫生—心血管疾病]