在皮下植入式心脏转换器-除器的SMART Pass自动停用
Mai Ishiwata1, Nobuhiko Ueda1, Kohei Ishibashi1
1Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Heart rhythm
|August 24, 2024
概括
在皮下植入式心脏转换器-除器中,SMART Pass的停用可能会增加不适当的冲击. 低S-ECG QRS振幅是一种危险因素,需要仔细的患者管理和随访.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 在皮下植入式心脏转换器-除器 (S-ICDs) 中的SMART Pass算法旨在防止不适当的冲击过度传感.
- 目前尚不清楚SMART Pass禁用的机制和临床意义.
研究的目的:
- 为了确定SMART Pass的禁用是否与不适当的冲击有关.
- 调查SMART通行证禁用的潜在机制.
主要方法:
- 对115名S-ICD患者 (2016-2021) 的回顾性分析.
- 评估SMART通行证停用和不适当的冲击.
- 测量S-ECG和12导心电图QRS振幅在禁用前和后.
主要成果:
- 经历SMART Pass停用 (SP-OFF组) 的患者数量上更高的不适当的冲击率.
- 与SP-ON组相比,SP-OFF组中观察到较低的S-ECG QRS幅度.
- 在SMART Pass停用之前,S-ECG QRS振幅大幅下降.
结论:
- 关闭SMART Pass与数字上更高的不适当冲击率有关.
- 低S-ECG QRS振幅是SMART Pass停用的一个潜在风险因素.
- 患有SMART Pass停用风险的患者需要保持警的随访和管理.
相关概念视频
01:23Cardiopulmonary Resuscitation III: AED Use
1.7K
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
1.7K
01:29Cardiomyopathy V: Interprofessional Care
762
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
762