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埋め込み心変容器-除細動器ショック後の患者の評価と管理
Anil K Gehi1, Davendra Mehta, J Anthony Gomes
1Division of Cardiology, Emory University School of Medicine, Atlanta, Ga, USA. anilgehi@gmail.com
JAMA
|December 21, 2006
まとめ
埋め込み式心臓変容器-除細動器 (ICD) ショックの管理には,プログラムと抗不律薬が必要です. これらの戦略は,ICDのショックを軽減しながら,心臓疾患の患者に対するデバイスの救命機能を保持します.
科学分野:
- 心臓病学 心臓病学
- 医療機器 医療機器について
- 電気生理学 電気生理学
背景:
- 心臓病患者の死亡率を低減するために,植入可能な循環器除細動器 (ICD) はますます使用されています.
- 非電気生理学者は,ICDショックを経験している患者を頻繁に管理します.
研究 の 目的:
- ICDショックを受けた患者の管理戦略を評価する.
- ICDショックイベントの評価と治療の選択肢を特定する.
主な方法:
- PubMedとMEDLINE (1990-2006) を使用して,包括的な文献検索が行われました.
- 関連するキーワードには",除細動器,インプラント","抗不律剤",および"高動脈治療"が含まれていました.
- 主要な心臓病学機関のガイドラインも検討された.
主要な成果:
- ICDのショックは,適切か不適切かは別として,患者の生活の質に悪影響を及ぼします.
- ICDプログラミング技術は,衝撃の発生を効果的に最小限に抑えることができます.
- 抗リズム薬は,衝撃の頻度を減らすための有効な方法を提供します.
結論:
- 効果的なICDプログラミングと抗不律薬は,ショックイベントを減らすことができます.
- これらの介入は,ICDの治療効果を維持するのに役立ちます.
- ICDショックを経験している患者にとって,管理オプションを理解することは極めて重要です.
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