使用光镜识别心脏起器的位,以避免显著的三回
Dicky A Hanafy1, Amiliana M Soesanto1, Budhi Setianto1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.
Journal of clinical medicine
|July 29, 2023
概括
心脏起器的导线可以通过冲击三管来引起三管吐 (TR). 在中右前斜或隔膜左前斜视图中放置会增加撞和TR的风险.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 心脏电生理学 心脏电生理学
背景情况:
- 永久心脏起器植入可以提高生存率,但存在风险.
- 三管反 (TR) 是使用心脏起器的已知并发症.
- 冲击是心脏起器介导的TR的主要原因.
研究的目的:
- 为了研究心脏起器位和三腹吐之间的关系.
- 为了确定与恶化TR和碰撞相关的特定领先位置.
- 评估接触对TR严重性的影响.
主要方法:
- 利用光镜评估心脏起器在三管环上的领先位置.
- 使用右前斜 (RAO) 和左前斜 (LAO) 视图进行领先评估.
- 进行2D跨胸心回声图 (TTE) 来量化TR的严重程度.
- 使用3D TTE可视化和确认撞.
主要成果:
- 在82名患者中,23名患者出现TR恶化.
- 下部RAO和隔膜LAO位置是最常见的.
- 中部RAO和隔膜LAO的位置成为碰撞的风险因素.
- 这些位置与显著的TR和冲击的风险增加有关.
结论:
- 心脏起器介导的TR是一个重要的临床问题.
- 特定的领先位置 (中部RAO,隔膜LAO) 会增加撞击和TR的风险.
- 优化领先位置可能会减轻TR的发展.
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