腹腔内出血引发不适当的治疗从皮下除器
Michael M Malaty1, Max Ray1, David Ferreira1,2
1Department of Cardiology, John Hunter Hospital, New Lambton, New South Wales, Australia.
JACC. Case reports
|February 16, 2024
概括
智能通行过器可以防止皮下植入式心脏转换器-除器的不适当冲击. 然而,当R波传感较差时,它可能会失败,如在腹部出血的情况下.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗器械 医疗器械
背景情况:
- 皮下植入式心脏转换器-除器 (S-ICD) 提供拯救生命的治疗,但可以提供不适当的冲击 (IAS).
- 智能通行过器旨在通过过T波信号来减轻IAS.
- 过器的停用发生在减少R波传感时,可能导致IASs.
研究的目的:
- 在腹腔内出血的背景下报告一个IAS病例.
- 为了突出SMART Pass过器在特定传感条件下的局限性.
主要方法:
- 病例报告描述了一个患者经历了IAS.
- 在事件期间对设备功能和患者状况的分析.
- 审查S-ICD过机制和潜在的故障模式.
主要成果:
- 发生了不适当的冲击 (IAS),尽管SMART Pass过器是活跃的.
- 减少R波传感,加剧了广泛的腹内出血,导致过器失效.
- 由于传感和过受损,S-ICD产生了不适当的冲击.
结论:
- 智能通行过器的有效性取决于适当的R波传感.
- 腹腔内出血可能会影响R波传感,导致过器失效和潜在的IAS.
- 在管理影响信号完整性的S-ICD患者时,临床警至关重要.
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