使用分层治疗,多可编程抗心律失常器件的临床经验.
G H Bardy1, C Troutman, J E Poole
1Department of Medicine, University of Washington, Seattle.
Circulation
|May 1, 1992
概括
一种新的多可编程抗心律失常器件显著改善了心脏骤停幸存者的结果. 这种先进的治疗方法减少了冲击和药物使用,提高了患者的生存率和生活质量.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 心脏骤停的幸存者经常面临危及生命的心室节律失常.
- 传统的抗心律失常器件在治疗复杂心律失常时存在局限性.
研究的目的:
- 为了评估初始的临床经验与一个新的多可编程抗心律失常器件.
- 为了评估该设备在心脏骤停幸存者的疗效.
主要方法:
- 在50名心脏骤停幸存者身上植入了一种多可编程的抗心律失常装置.
- 使用分层治疗和可变检测标准来治疗心律失常.
- 采用了心和透静脉系统.
主要成果:
- 在15个月的随访中实现了96%的患者存活率,没有心律失常死亡.
- 在82%的患者中减少了抗心律失常药物的使用,而在18%的患者中避免了白心脏起器.
- 实现了非侵入性电生理学测试,避免了35名患者的侵入性手术.
结论:
- 这种多可编程设备在治疗心室失常症方面取得了重大进展.
- 它最大限度地减少痛苦的冲击,减少药物依赖,并简化了电生理学评估.
- 为那些患有危及生命的心律失常患者提供了改善的患者结果和生活质量.
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