年轻患者的皮下植入式除器:心律失常,并发症和体力活动
Pietro Francia1, Matteo Ziacchi2, Federico Migliore3
1Cardiology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea University Hospital (P.F., C.A.), Sapienza University of Rome, Italy.
Circulation. Arrhythmia and electrophysiology
|February 24, 2025
概括
活跃的生活方式和体育活动对皮下植入式心脏逆转器除器 (S-ICD) 接受者来说是安全的. 在S-ICD患者中,较高的体力活动水平并没有增加设备并发症或冲击的风险.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 在活跃个体,包括运动员中,皮下植入式心脏逆转器除器 (S-ICD) 的安全性尚未得到充分证实.
- 评估生活方式和运动对S-ICD并发症和冲击事件的影响对于患者管理至关重要.
研究的目的:
- 为了评估S-ICD在年轻成年人与活跃的生活方式和娱乐体育参与的安全性.
- 确定身体活动水平与S-ICD相关并发症之间的关联,适当和不适当的冲击.
主要方法:
- 评估了602名S-ICD接受者 (年龄在15-65岁之间) 的队列.
- 使用国际体育活动问卷 (IPAQ) 评估体育活动,将患者分为不活跃,中度活跃和高度活跃的组.
- 与心律失常或设备相关的并发症和冲击的发生率与活动水平和体育参与有关.
主要成果:
- 与不活跃患者相比,较高的活动水平 (中度和高) 与S-ICD相关并发症的发生率增加无关.
- 与不活跃个体相比,中度/高度活跃的患者和运动员的适当冲击发生率较低的趋势是不显著的.
- 不适当的冲击发生率在所有活动水平上都保持着相似.
结论:
- 年轻的S-ICD接受者经常保持活跃的生活方式,并参加体育运动.
- 在S-ICD患者中,增加体育活动和体育参与与设备并发症或冲击的更高风险无关.
相关概念视频
Disturbances in Heart Rhythm
866
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
866
Mechanism of Cardiac Arrhythmias
872
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
872
Pulse rhythm
754
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
754


