两次连续的双相冲击之间的脉冲分离对不同配置的脉冲分离对心室除功效的影响
E E Johnson1, C A Alferness, P D Wolf
1Department of Medicine, Duke University Medical Center, Durham, N.C.
Circulation
|June 1, 1992
概括
优化连续双相电击之间的间隔对于除至关重要. ≤10毫秒或75125毫秒的间隔提高了疗效,而50毫秒增加了除门.
科学领域:
- 心血管研究研究心血管研究
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 连续的双相冲击可以提高除效率,而不是单次冲击.
- 冲击间隔对除的影响需要研究.
研究的目的:
- 为了确定顺序双相冲击的最佳冲击间隔.
- 评估不同冲击延迟如何影响除门和成功率.
主要方法:
- 在狗中测量了除动脉值 (DFT),其间隔间隔有所变化 (0.2125毫秒).
- 领先的配置包括右心室顶部到左侧胸部和左心室顶部到右心室外流通道.
- 为了确认DFT的发现,生成了除成功概率曲线.
主要成果:
- 平均DFT在≤10毫秒或75125毫秒的间隔下低于单击值 (p = 0.002).
- 在50毫秒的间隔内,DFT显著上升至27 J.
- 对于最低能耗要求的最佳间隔是0.2ms和90%的激活间隔.
结论:
- 顺序双相冲击的最佳间冲击间隔为≤10ms或75125ms.
- 50毫秒的间隔可能会重新引发动,需要更强的第二次冲击.
- 定时是最大限度地提高除成功与连续冲击的关键.
相关概念视频
Disturbances in Heart Rhythm
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Dysrhythmias VI: Management of Dysrhythmias
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
Cardiopulmonary Resuscitation III: AED Use
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Cardiopulmonary Resuscitation IV: Pharmacological Management
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


