相关实验视频
Updated: May 8, 2026

16:11
Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
35.2K
心脏移植患者的心脏植入式电子设备:综合性审查
Shayan Khan1, Dana Badry Faried Khaled Abdo2, Varda Mushtaq3
1From the Department of Cardiology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
Cardiology in review
|December 21, 2024
概括
接受心脏移植的人可能需要起器 (PPM) 或除器 (ICD) 来治疗心律问题. 新的外科手术技术减少了起器的需求,但设备的使用和突然死亡风险需要持续评估.
科学领域:
- 心脏病学 心脏病学
- 移植医学 移植医学
- 医疗器械技术 医疗器械技术
背景情况:
- 永久心脏起器 (PPM) 植入器在心脏移植接受者的10%需要进行心律失常.
- 双解手术已经使PPM植入率降低到<5%.
- 植入式心脏转换器-除器 (ICD) 的使用较少 (1.5-3.4%),数据有限.
研究的目的:
- 审查目前关于心脏移植接受者的PPM和ICD使用的数据.
- 讨论不断发展的设备技术,如无PPM和皮下ICD.
- 探索在这个人群中对设备治疗的独特考虑和未来方向.
主要方法:
- 对现有数据进行全面的文献综述.
- 对设备植入的队列研究和病例系列的分析.
- 综合有关PPM和ICD角色的信息,包括新设备.
主要成果:
- 随着手术技术的改进,PPM植入率有所下降.
- 心脏移植接受者之间的节奏依赖性有所不同.
- 突然心脏病死亡仍然是一个令人担忧的问题 (~10%),通常是由于非心律失常的原因.
结论:
- PPM和ICD在心脏移植后的心律障碍的管理中发挥作用.
- 需要对无PPM,皮下ICD和长期结果进行进一步研究.
- 优化设备选择和管理对于心脏移植接受者至关重要.
相关概念视频
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Heart Failure VI: Adjunct Therapies
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
Cardiomyopathy II: Dilated Cardiomyopathy
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
Cardiomyopathy V: Interprofessional Care
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...
Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...

