Sick Sinus Syndrome with Normal Atropine Response - A Case Report

竇房結病竇症候群合併正常阿託品反應－個案報告

賴文德(Wen-Ter Lai) ； 董俊伯(Chung-Po Tung) ； 李智雄(Chee-Siong Lee) ； 溫文才(Wen-Chol Voon) ； 顏學偉(Hsueh-Wei Yen) ； 林慶正(Ching-Jeng Lin) ； 張志賢(Jyh-Shyan Chang) ； 黃裕堯(Yuh-Yau Hwang) ； 許勝雄(Sheng-Hsiung Sheu)

《The Kaohsiung Journal of Medical Sciences》 10卷11期 (1994/11) Pp. 649-653

https://doi.org/10.6452/KJMS.199411.0649

摘要

一個 76 歲女性因反覆暈厥而住院， 24小時 Holter 氏心電圖顯示竇性心博過慢及陣發性竇房結暫停（達2.24 秒）。雖然靜脈注射阿託品能增加心率達每分鐘 100 跳，但電器生理學檢查顯示竇房結恢復時問，不論在自主神經阻斷劑給予前或給予後，均延長。故縱使阿託品測示是正常反應，病人仍診斷竇房結病竇症候群並給予裝置永久性心律調節器治療。

並列摘要

A 76-year-old woman was admitted due to recurrent syncope. Sinus bradycardia and intermittent sinus pauses (up to 2.24 sec) were documented by 24 hour Holter electrocardiogram. Although intravenous atropine can increase the sinus rate up to 100 bpm, electrophysiologic study showed marked prolongation of sinus node recovery time both at the control state and after autonomic blockades. Sick sinus syndrome was diagnosed, even with a normal atropine test, and a permanent pacemaker resulted in resolution of the syncope.

並列關鍵字

sick sinus syndrome ； atropine