使用激活植入式心脏转换器-除器进行分娩是否安全:一项多中心观察性研究
Willeke van der Stuijt1, Kirsten M Kooiman1, Jolien A de Veld1
1Heart Centre: Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
BJOG : an international journal of obstetrics and gynaecology
|February 7, 2024
概括
在分娩期间激活植入式心脏转换器-除器 (ICD) 是安全的,没有观察到不适当的冲击或心律失常. 大多数患者也更喜欢激活的ICD用于分娩和分娩.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 医疗器械 医疗器械
背景情况:
- 植入式心脏转换器-除器 (ICD) 由于缺乏数据和指导方针,在分娩期间经常被禁用,以防止不适当的冲击.
- 这种做法可能会导致患者在分娩期间感到焦虑和不理想的护理.
研究的目的:
- 评估激活植入式心脏转换器-除器 (ICD) 在分娩和分娩期间的安全性.
- 评估患者在分娩期间关于ICD状态的偏好.
主要方法:
- 在荷兰医院进行了一项观察性研究,其中包括26名患有ICD的患者的41次分娩.
- 根据患者在分娩期间的状态,患者被分为激活和禁用ICD组.
- 通过患者档案审查和问卷收集数据,并使用千平方或费舍尔精确测试进行统计分析.
主要成果:
- 在使用激活ICD观察的41次分娩期间,没有发生不适当的ICD治疗或需要治疗的心室节律失常.
- 在激活ICD组中,显著多数 (13/13) 的患者更喜欢这种设置.
- 此外,停用ICD组中的13名患者中有8人也更喜欢在分娩期间激活ICD.
结论:
- 带有激活植入式心脏转换器-除器 (ICD) 的妇女的分娩似乎是安全的,没有观察到任何不良心脏事件.
- 患者的偏好强烈支持在分娩期间保持ICD激活,理由包括避免磁铁放置或分娩诱导等干预措施.
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