关键词: atropine cardiac pacemaker congenital heart block salbutamol

来  源:   DOI:10.3390/healthcare12121158   PDF(Pubmed)

Abstract:
This article presents the case of a 27-year-old female patient with idiopathic congenital complete heart block who does not consent to the implantation of a cardiac pacemaker but was referred by her primary care physician for cardiological evaluation. The conduction disturbance was recognized at the age of 6 and was asymptomatic. The professional disqualification from pacemaker implantation included a detailed history of a patient\'s symptoms, an echocardiographic assessment of the heart, exercise testing and ECG Holter monitoring. The aid of salbutamol administered orally was also useful.
摘要:
本文介绍了一名27岁的特发性先天性完全性心脏传导阻滞女性患者的情况,该患者不同意植入心脏起搏器,但由其初级保健医师转介进行心脏病学评估。传导障碍在6岁时被识别并且是无症状的。起搏器植入的专业不合格包括患者症状的详细病史,心脏的超声心动图评估,运动测试和心电图动态心电图监测。口服给予沙丁胺醇的辅助也是有用的。
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