紧急程度高
-中度严重
它是一种慢性心律失常,其特征在于心脏腔之间的电传导的完全中断。心房和心室之间存在电气断开。
儿童时期最常见的原因是遗传性心脏病(先天性心脏病),感染和心脏手术。在母亲患有狼疮的新生儿中很常见。
在新生儿中,它表现为心率缓慢。在儿童时期除了心率缓慢外,还可能出现其他症状,如虚弱,运动耐受性差和意识丧失。
通过临床病史,体格检查和心电图的实现来获得诊断。
为了使心率接近正常范围,将使用加速心率的药物,并在必要时使用起搏器。
- William H Sauer. Congenital third degree (complete) atrioventricular block. UpToDate, Octubre 2015
- Jaeggi ET. Outcome of children with fetal, neonatal or childhood diagnosis of isolated congenital atrioventricular block. A single institution's experience of 30 years. J Am Coll Cardiol 2002; 39:130.
- Brucato A. Risk of congenital complete heart block in newborns of mothers with anti-Ro/SSA antibodies detected by counterimmunoelectrophoresis: a prospective study of 100 women. Arthritis Rheum 2001; 44:1832.
- Baruteau AE, Fouchard S, Behaghel A, et al. Characteristics and long-term outcome of non-immune isolated atrioventricular block diagnosed in utero or early childhood: a multicentre study. Eur Heart J 2012; 33:622.
医生 Patricia Sánchez
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