VDD (DX) ICD选择的关键影响:来自前性国家调查的结果
Mate Vamos1, Marianna Nemeth2, Bence Kesoi3
1Cardiology Center, University of Szeged, Szeged, Hungary.
Pacing and clinical electrophysiology : PACE
|June 17, 2024
概括
单导线ICD系统 (DX ICD) 提供无需额外导线的心房传感. 选择DX ICD的关键因素包括高中风险,心跳动以及未来的CRT升级需求,支持现有的决策准则.
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:
- 带有浮动心房双极 (DX ICD) 的单引线植入式心脏转换器-除器 (ICD) 系统已经开发出来,可以实现心房传感,而不需要额外的引线.
- 这种方法旨在保持心房传感的好处,同时简化植入程序并减少与多个导线相关的潜在并发症.
研究的目的:
- 对DX ICD系统选择的全国影响进行调查.
- 评估以前建立的ICD类型选择决策流程图的适用性.
主要方法:
- 在所有匈牙利的植入中心分发了一份在线问卷.
- 从361个DX ICD和10个心脏再同步治疗 (CRT) -DX系统植入物中收集了数据,这些植入物在2021年2月至2023年5月期间进行.
主要成果:
- 影响DX ICD选择的主要临床因素是心房动 (AF) /中风风险增加 (56%),鼻腔/心室上脉动 (SVT) 风险增加 (42%),以及预计未来需要CRT升级 (36%).
- 主要选择DX ICD而不是VVI系统 (87%) 更少选择DDD ICD系统 (13%).
- 83%的病例在植入后六周内获得了良好的或出色的心房信号幅度,60%的患者参加了远程监测.
结论:
- 国家调查确定了中风风险增加,鼻/SVT以及潜在的CRT升级需求是DX ICD选择的关键驱动因素.
- 这些发现证实了先前发布的决策流程图用于指导ICD系统选择的实用性.
关键词:
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