[COMPLETE ATRIOVENTRICULAR BLOCK DUE TO PULMONARY EMBOLISM].

Harefuah Pub Date : 2022-12-01
Einat Shaked, Ella Yahud, Gergana Marincheva, Andrei Valdman, Eli I Lev, Avishag Laish-Farkash
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Abstract

Introduction: Pulmonary embolism, a common and potentially fatal clinical condition, occurs when a blood thrombus becomes lodged in the pulmonary vasculature and creates an acute increment in the pulmonary vascular resistance, which, in turn, creates a right ventricular strain. Among the more familiar electrocardiographic manifestations in acute pulmonary embolism is sinus tachycardia, right bundle branch block and ST-T abnormalities in the right precordium leads. Complete heart block or any type of bradycardia is uncommon. In our case report we present an 81 years old woman who was admitted to our institution with acute pulmonary embolism and complete atrioventricular block, which later resolved with appropriate anticoagulation therapy.

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[肺栓塞引起的完全性房室传导阻滞]。
简介:肺栓塞是一种常见且可能致命的临床疾病,当血栓滞留在肺血管中并造成肺血管阻力的急性增加时,就会发生肺栓塞,这反过来又会造成右心室应变。急性肺栓塞较为常见的心电图表现为窦性心动过速、右束支传导阻滞和右心前导联ST-T异常。完全的心脏传导阻滞或任何类型的心动过缓是罕见的。在我们的病例报告中,我们介绍了一位81岁的女性,她因急性肺栓塞和完全性房室传导阻滞而入院,后来通过适当的抗凝治疗得以解决。
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