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題名 | Exercise-Induced Complete Atrioventricular Block: A Case Report=運動引發完全性房室傳導阻滯:病例報告 |
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作者 | 吳彥雯; 林隆君; 潘玫秀; 黃博昭; | 書刊名 | 核子醫學雜誌 |
卷期 | 15:4 2002.12[民91.12] |
頁次 | 頁219-222 |
分類號 | 415.31 |
關鍵詞 | 履帶式運動; 完全性房室傳導阻滯; 鉈-201單光子放射電腦斷層攝影; Treadmill exercise; Complete atrioventricular block; Thallium-201 SPECT; |
語文 | 英文(English) |
中文摘要 | 一位52歲男性,一年前曾接受過心導管的檢查及氣球擴張術,被轉介至核子醫學部接受鉈-201催迫性心肌灌注單一光子放射電腦斷層攝影,評估是否有心肌缺氧。病人在休息狀態時,心臟房室傳導均為正常;但是病人在履帶式運動結束約一分鐘後,出現完全性房室傳導阻滯約9.5秒而引發暈厥現象。病人的鉈-201催迫性心肌灌注單一光子放射電腦斷層攝影及冠狀血管攝影,均顯示無心臟缺血之變化。因此在本病案中,由於運動而引發的完全性房室傳導阻滯,可能肇因於藥物的作用、自律神經不平衡、或心臟傳導系統的疾病。 |
英文摘要 | A 52-year-old man with normal atrioventricular (AV) conduction at rest who underwent percutaneous coronary angioplasty one year ago, was referred for a myocardial perfusion stress test for evaluation of possible ischemia. Complete AV block with long pause (9.5seconds) and syncope developed one minute after termination of exercise. Thallium-201 SPECT and coronary angiogram did not show significant ischemia. The cause of exercise-induced complete AV block in this case may be attributable to drug effect, autonomic imbalance or conduction disease. |
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