YOUNG AT A SLOW PACE!
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.58043/rphrc.72 |
Resumo: | Bradycardia is defined as a Heart Rate (HR) of less than 60 beats per minute (bpm). In most young people, bradycardia is sinus and corresponds to a physiological response. A young woman, 22 years old, with no relevant personal history, a father with an acute myocardial infarction at age 40, maternal uncle with sudden death at age 50, seeks consultation with her attending physician because she has low HR without associated symptoms. On physical examination, the patient’s heart rate was 45 bpm, with no other significant alterations. A requested ECG detected: “Sinus rhythm, with periods of Atrioventricular Block (AVB) 2:1 and complete AVB. Average HR 46 bpm”. In view of the findings, the patient was referred to the cardiology emergency department of the reference hospital, having been hospitalized for study. On the date of discharge, the patient was referred to an arrhythmology consultation, having undergone cardiac magnetic resonance imaging and a genetic study which did not reveal any significant alterations. Due to her age and lack of symptoms, it wasn’t easy to make a therapeutic decision. As a result of the potential iatrogenic risk and morbidity associated with cardiac devices at such a young age, clinical and electrocardiographic surveillance was chosen. |
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YOUNG AT A SLOW PACE!JOVEM A RITMO LENTO!BradicardiaBloqueio auriculoventricular completoBloqueio auriculoventricular 2:1BradycardiaComplete atrioventricular block2:1 Atrioventricular blockBradycardia is defined as a Heart Rate (HR) of less than 60 beats per minute (bpm). In most young people, bradycardia is sinus and corresponds to a physiological response. A young woman, 22 years old, with no relevant personal history, a father with an acute myocardial infarction at age 40, maternal uncle with sudden death at age 50, seeks consultation with her attending physician because she has low HR without associated symptoms. On physical examination, the patient’s heart rate was 45 bpm, with no other significant alterations. A requested ECG detected: “Sinus rhythm, with periods of Atrioventricular Block (AVB) 2:1 and complete AVB. Average HR 46 bpm”. In view of the findings, the patient was referred to the cardiology emergency department of the reference hospital, having been hospitalized for study. On the date of discharge, the patient was referred to an arrhythmology consultation, having undergone cardiac magnetic resonance imaging and a genetic study which did not reveal any significant alterations. Due to her age and lack of symptoms, it wasn’t easy to make a therapeutic decision. As a result of the potential iatrogenic risk and morbidity associated with cardiac devices at such a young age, clinical and electrocardiographic surveillance was chosen.A bradicardia é definida como uma Frequência Cardíaca (FC) inferior a 60 batimentos por minuto (bpm). Na maioria dos jovens a bradicardia é sinusal e corresponde a uma resposta fisiológica. Uma jovem, de 22 anos sem antecedentes pessoais de relevo, pai com enfarte agudo do miocárdio aos 40 anos, tio materno com morte súbita aos 50 anos, recorre à consulta do seu médico assistente por apresentar FC baixas sem sintomatologia associada. Ao exame físico apresentava FC de 45 bpm, sem outras alterações de relevo. Em ECG solicitado detetou-se: “Ritmo sinusal, com períodos de Bloqueio Auriculo-ventricular (BAV) 2:1 e BAV completo. FC média 46 bpm”. Atendendo aos achados a doente foi referenciada para o serviço de urgência de cardiologia do Hospital de referência tendo ficado internada para estudo. Á data da alta, foi orientada para a consulta de arritmologia, tendo realizado ressonância magnética cardíaca e estudo genético que não revelaram alterações de relevo. Atendendo à idade, e ao facto da doente não ter qualquer sintoma, a decisão terapêutica não foi linear. Considerando também o potencial risco iatrogénico e morbilidade associados com os dispositivos cardíacos em idade tão jovem optou-se por vigilância clínica e eletrocardiográfica.Revista Portuguesa de Hipertensão e Risco Cardiovascular2023-12-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.72https://doi.org/10.58043/rphrc.72Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 98 (2023): Novembro/Dezembro; 20-221646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/72https://revistahipertensao.pt/index.php/rh/article/view/72/97Direitos de Autor (c) 2023 Jose Pedro Liberal, Gabriela Peixoto Martins , Davide Teixeira, Rafael Lopes da Cunhainfo:eu-repo/semantics/openAccessPeixoto Martins , GabrielaLiberal, Jose PedroTeixeira, DavideLopes da Cunha, Rafael2023-12-16T07:20:18Zoai:ojs.revistahipertensao.pt:article/72Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:54:38.214378Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
YOUNG AT A SLOW PACE! JOVEM A RITMO LENTO! |
title |
YOUNG AT A SLOW PACE! |
spellingShingle |
YOUNG AT A SLOW PACE! Peixoto Martins , Gabriela Bradicardia Bloqueio auriculoventricular completo Bloqueio auriculoventricular 2:1 Bradycardia Complete atrioventricular block 2:1 Atrioventricular block |
title_short |
YOUNG AT A SLOW PACE! |
title_full |
YOUNG AT A SLOW PACE! |
title_fullStr |
YOUNG AT A SLOW PACE! |
title_full_unstemmed |
YOUNG AT A SLOW PACE! |
title_sort |
YOUNG AT A SLOW PACE! |
author |
Peixoto Martins , Gabriela |
author_facet |
Peixoto Martins , Gabriela Liberal, Jose Pedro Teixeira, Davide Lopes da Cunha, Rafael |
author_role |
author |
author2 |
Liberal, Jose Pedro Teixeira, Davide Lopes da Cunha, Rafael |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Peixoto Martins , Gabriela Liberal, Jose Pedro Teixeira, Davide Lopes da Cunha, Rafael |
dc.subject.por.fl_str_mv |
Bradicardia Bloqueio auriculoventricular completo Bloqueio auriculoventricular 2:1 Bradycardia Complete atrioventricular block 2:1 Atrioventricular block |
topic |
Bradicardia Bloqueio auriculoventricular completo Bloqueio auriculoventricular 2:1 Bradycardia Complete atrioventricular block 2:1 Atrioventricular block |
description |
Bradycardia is defined as a Heart Rate (HR) of less than 60 beats per minute (bpm). In most young people, bradycardia is sinus and corresponds to a physiological response. A young woman, 22 years old, with no relevant personal history, a father with an acute myocardial infarction at age 40, maternal uncle with sudden death at age 50, seeks consultation with her attending physician because she has low HR without associated symptoms. On physical examination, the patient’s heart rate was 45 bpm, with no other significant alterations. A requested ECG detected: “Sinus rhythm, with periods of Atrioventricular Block (AVB) 2:1 and complete AVB. Average HR 46 bpm”. In view of the findings, the patient was referred to the cardiology emergency department of the reference hospital, having been hospitalized for study. On the date of discharge, the patient was referred to an arrhythmology consultation, having undergone cardiac magnetic resonance imaging and a genetic study which did not reveal any significant alterations. Due to her age and lack of symptoms, it wasn’t easy to make a therapeutic decision. As a result of the potential iatrogenic risk and morbidity associated with cardiac devices at such a young age, clinical and electrocardiographic surveillance was chosen. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.58043/rphrc.72 https://doi.org/10.58043/rphrc.72 |
url |
https://doi.org/10.58043/rphrc.72 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistahipertensao.pt/index.php/rh/article/view/72 https://revistahipertensao.pt/index.php/rh/article/view/72/97 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
dc.source.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 98 (2023): Novembro/Dezembro; 20-22 1646-8287 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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