A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals
10.13288/j.11-2166/r.2023.19.019
- VernacularTitle:益气温阳通络法治疗心脏射频消融术后三度房室传导阻滞1例
- Author:
Wenkuan LUO
1
;
Jianqi LU
2
;
Meiling TANG
2
;
Puwei HUANG
2
;
Jiatan ZHOU
1
;
Min YANG
1
Author Information
1. Guangxi University of Chinese Medicine， Nanning， 530000
2. The First Affiliated Hospital of Guangxi University of Chinese Medicine
- Publication Type:Case Reports
- Keywords:
third-degree atrioventricular block;
radiofrequency ablation;
boosting qi， warming yang and unblocking collaterals
- From:
Journal of Traditional Chinese Medicine
2023;64(19):2049-2052
- CountryChina
- Language:Chinese
-
Abstract:
Third-degree atrioventricular block is a severe bradyarrhythmia， for which there is no proven effective drugs currently. Permanent pacemaker implantation recommended by the guideline， however， is not suitable for most patients. This paper reported on a case of third-degree atrioventricular block after cardiac radiofrequency ablation who has been treated with the method of boosting qi， warming yang and unblocking collaterals. The TCM syndrome of this case was diagnosed as yang qi depletion and phlegm-stasis blocking the collaterals， for which Baoyuan Decoction and Mahuang Fuzi Xixin Decoction （保元汤合麻黄附子细辛汤） in modification has been used to boost qi， warm yang and raise the sunken， dissolve phlegm， invigorate blood and unblock collaterals. After nearly 7-month treatment， the symptoms such as palpitations， shortness of breath and fatigue were basically cured， and the electrocardiogram returned to the normal.
