一名59岁的男子正在考虑植入心脏除器
1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. pzimetba@bidmc.harvard.edu
JAMA
|May 3, 2007
概括
突发心脏病死亡每年影响许多美国人. 植入式心脏转换器-除器可以防止这种情况,但患者和医生必须权衡设备的好处与召回等风险.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 突然心脏病死亡 (SCD) 是死亡的一个重要原因,在美国每年有近45万例死亡.
- 患有心肌梗塞 (MI) 和左心室功能障碍病史的患者面临突然心律失常死亡的高风险.
研究的目的:
- 讨论ICD在患有突发心律失常死亡高风险患者的预防性使用.
- 用一个案例研究来说明ICD植入的考虑因素.
- 强调讨论ICD治疗的好处和风险的重要性.
主要方法:
- 一个59岁男性的病例研究介绍,他有心脏病发作史,低射出率和心力衰竭.
- 关于预防性ICD植入的讨论.
- 审查与ICD相关的好处和风险.
主要成果:
- ICDs有效地降低了选择的高风险患者的SCD风险.
- 患者和医生的决策需要对潜在的设备召回和故障有充分的了解.
- 预防性ICD安置涉及平衡救命潜力与与设备相关的担忧.
结论:
- 对益处与风险的仔细考虑对于考虑预防性ICD植入的患者至关重要.
- 患者和医生之间的共同决策对于ICD在SCD初级预防中的适当使用至关重要.
- 对于植入心脏变压器-除器的患者,需要对设备性能和召回进行持续的警.
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