对右侧设备植入物进行除动脉值测试:为信息共享决策进行审查,与英国心律协会合作
Michael Tb Pope1, John R Paisey2, Paul R Roberts2
1Department of Cardiology, Royal Bournemouth Hospital, Bournemouth, UK.
Arrhythmia & electrophysiology review
|July 10, 2023
概括
植入式心脏转换器-除器 (ICD) 的除门 (DFT) 测试可能不必对所有患者进行,特别是那些右侧植入物患者,这表明需要个性化的方法.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 电力生理学 电力生理学
背景情况:
- 植入式心脏转移除器 (ICD) 对于通过终止心室动 (VF) 来预防心脏突然死亡至关重要.
- 传统上,在ICD植入期间,除门 (DFT) 测试是标准的,以确保成功的冲击传递.
- 最近的大型试验 (例如,SIMPLE,NORDIC ICD) 表明DFT测试对左侧植入物是不必要的,没有对结果产生不良影响.
研究的目的:
- 审查目前关于DFT测试的数据,特别是对右侧ICD植入物的测试.
- 为了研究右侧植入物中不同冲击载体对DFT的影响.
- 通过对英国当前实践的调查,在右侧ICD植入物中进行DFT测试,提出了研究结果.
主要方法:
- 文献综述侧重于右侧ICD植入中的DFT测试.
- 对右侧植入物中冲击载体和DFT数据的分析.
- 关于当前的DFT测试实践的全英国调查结果的介绍.
主要成果:
- 较小的研究表明,由于改变了冲击载体,右侧ICD植入物中的DFT可能更高.
- 在主要试验中排除右侧植入物限制了省略DFT测试的概括性.
- 调查结果表明,目前英国在对右侧ICD进行DFT测试的做法存在差异.
结论:
- 对右侧ICD植入物省略DFT测试的必要性和安全性需要进一步调查.
- 对于DFT测试决策,建议采用临床医生和患者共同决策的策略.
- 在右侧ICD植入物患者中,对DFT测试的个性化方法可能是合理的.
更多相关视频
10:39Rat Model of Right-Sided Cardiac Remodeling and Arrhythmia Using Pulmonary Artery Banding
Published on: August 30, 2024
701
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
10.5K
相关概念视频
01:25Dysrhythmias VI: Management of Dysrhythmias
19
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...
19
01:30Dysrhythmias V: Evaluating Dysrhythmias
42
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
42
01:23Cardiopulmonary Resuscitation III: AED Use
39
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...
39
01:29Cardiomyopathy V: Interprofessional Care
17
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
17
01:21Cardiac Catheterization II: Right Heart Catheterization
55
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
55
01:28Disturbances in Heart Rhythm
1.0K
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...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
1.0K