肥厚型心肌病衰竭期女性患者 －－Kadish医师

作者:未知 出处:2006国际心脏猝死在线大会2006国际心脏猝死在线大会

她可能有家族性心肌病。这类患者中某些呈进行性心脏阻滞和左室功能不全，这种情况下，可能与肥厚型心肌病有关；其他呈进行性心脏阻滞的患者中，可能发生房间隔缺损（ASD）。此时，单单植入起搏器有发生心脏猝死的危险，当然，对某些严重的左室功能不全和心脏传导阻滞的患者，我建议植入ICD＋CRT，可望改善心功能并防止心脏猝死的发生危险。Alan Kadish医师Sergio Dubner博士科委会主席Edgardo Schapachnik博士组委会主席王玲洁译15E RE: A female with burned-out phase of HCM? Dr. KadishShe appears to have a familial cardiomypopathy. Some cohorts ofthese patients have progressive heart block and LV dysfunciton. Inthis case HCM may be associated. In other patients with progressiveheart block, an ASD may be present.In  any case there is a risk of SCD with pacemaker therapy alone.Certainly, in the presence of severe dysfunction and CHB, I wouldsuggest an ICD CRT device with the hope of improving function andprotecting aginst the risk of SCD.--D