由心房踢击引起的早期舒张期心音。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2024-03-07 DOI:10.1111/anec.13108

Kinan Bachour MD, MBA, Eric Mendez MD, Samuel Jackson MD, Gentian Lluri MD, PhD, Henry M. Honda MD

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引用次数: 0

摘要

一名 81 岁的男性患者，有冠心病、高血压、阵发性心房颤动和慢性肾病病史，出现无症状性心动过缓。检查发现心音早搏。12 导联心电图显示窦性心动过缓，PR 间期明显延长，二度房室传导阻滞，I 型 Mobitz。我们回顾了舒张早期心音的鉴别诊断，并介绍了一例温克巴赫病例，该病例在体检时伴有可变的舒张早期心音。

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Early diastolic heart sounds caused by the atrial kick

An 81-year-old male with a history of coronary artery disease, hypertension, paroxysmal atrial fibrillation and chronic kidney disease presents with asymptomatic bradycardia. Examination was notable for an early diastolic heart sound. 12-lead electrocardiogram revealed sinus bradycardia with a markedly prolonged PR interval and second-degree atrioventricular block, type I Mobitz. We review the differential diagnosis of early diastolic heart sounds and present a case of Wenckebach associated with a variable early diastolic sound on physical exam.

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.