停止心脏植入式电子设备治疗后,通过静脉取
Andrzej Kutarski1, Wojciech Jacheć2, Jarosław Kosior3
1Department of Cardiology, Medical University, Lublin, Poland. annapolewczyk@wp.pl.
Kardiologia polska
|November 8, 2023
概括
重新评估心脏植入式电子设备 (CIED) 在取后重新植入的需要至关重要. 在许多情况下,CIED治疗可能不必要,并且不重新植入不会对长期预后产生负面影响.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 患有心脏植入式电子设备 (CIED) 的患者可能无法继续治疗.
- 输血提取 (TLE) 是一种程序,可以影响持续CIED治疗的需要.
研究的目的:
- 评估在TLE之后CIED再植入不必要的情况.
- 为了确定TLE后非再植入的预测因素.
主要方法:
- 对3646个TLE程序进行了回顾性分析.
- 在TLE后的患者中评估了设备再植入的指示.
主要成果:
- 在TLE后立即避免再植入的病例为4.6%,长期避免的病例为4.0%.
- 不进行再植入的原因包括稳定的鼻节律,转换为心房动,以及改善左心室喷射率 (LVEF).
- 首次CIED植入时的年龄较小,较低的NYHA类,AF的存在和较高的LVEF是心脏起器患者非再植入的预测因素;除器患者的LVEF较高.
结论:
- 建议在取后和计划更换之前重新评估CIED治疗.
- 推迟TLE后的再植入可以增加复杂性和风险.
- 非再植入不会对患者的长期预后产生负面影响.
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