直立倾斜试验诱发31秒心脏停搏的植入心脏起搏器儿童一例并文献复习  

Pacemaker implantation in a child with a 31-second cardiac arrest induced by tilt table test:a case report and literature review

作　　者：陈晓胜 何佳 刘方 吴蕊[3] 杨海涛[3] 樊晓寒 Chen Xiaosheng;He Jia;Liu Fang;Wu Rui;Yang Haitao;Fan Xiaohan(Department of Cardiology,Chest Hospital of Zhengzhou University,Henan Provincial Chest Hospital,Zhengzhou 450003,China;Center of Cardiac Function,Chinese Academy of Medical Sciences and Peking Union Medical College,National Center for Cardiovascular Diseases,Fuwai Hospital,Beijing 100037,China;Department of Cardiology,Central China Fuwai Hospital of Zhengzhou University,Fuwai Central China Cardiovascular Hospital,Henan Provincial People's Hospital Heart Center,Zhengzhou 451464,China)

机构地区：[1]郑州大学附属胸科医院、河南省胸科医院心血管内科,郑州450003 [2]中国医学科学院、北京协和医学院国家心血管病中心、阜外医院功能检测中心,100037 [3]郑州大学华中阜外医院、阜外华中心血管病医院、河南省人民医院心脏中心心血管内科,郑州451464

出　　处：《中华脑血管病杂志（电子版）》2024年第5期488-494,共7页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200089)。

摘　　要：目前,关于儿童血管迷走性晕厥患者接受植入心脏起搏器治疗的研究非常有限。本文报告了1例7岁男性儿童,曾反复晕厥,经直立倾斜试验诱发出长达31 s的心脏停搏。经家属和医师共同讨论决定为该患者植入具有闭环刺激功能的起搏器,并辅以酒石酸美托洛尔治疗,经过随访观察,治疗效果显著,晕厥未再复发,复查倾斜试验可见起搏工作避免血压心率下降的发生。本文还回顾和总结了1990年至2024年期间共有23例儿童因血管迷走性晕厥而接受起搏治疗的相关文献,旨在探讨此类患者的个体化诊断治疗方案。Currently,studies on the treatment of pediatric vasovagal syncope with pacemaker implantation are very limited.This article reports a case of a 7-year-old male child who experienced recurrent syncope.A tilt table test induced a prolonged cardiac arrest lasting up to 31 seconds.After through consultation with the family a pacemaker with closed loop stimulation function was implanted in the patient,and he was treated with Metoprolol Tartrate.Follow-up assessments showed significant treatment benefits,with no recurrence of syncope,and the tilt table test showing that the pacing function prevented a decrease in blood pressure and heart rate.This article also reviews and summarizes the literature from 1990 to 2024,encompassing 23 pediatric cases of vasovagal syncope treated with pacemakers,aiming to explore personalized diagnostic and treatment approaches for this patient population.

关 键 词：儿童 血管迷走性晕厥 心脏停搏 起搏器 闭环刺激 

分 类 号：R748[医药卫生—神经病学与精神病学]