由心房值搜索引起的心室动:一个病例报告
David Sprenkeler1, Ferry Hersbach2, Ad Oomen2
1Department of Cardiology, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands.
European heart journal. Case reports
|March 27, 2025
概括
植入式心脏转移器除器 (ICD) 很少会在心房值测试期间引发心室动. 禁用此功能可以防止心力衰竭病史患者的进一步心律失常.
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:
- 植入式心脏转移器除器 (ICD) 对于预防心室心律失常引起的突然心脏死亡至关重要.
- 然而,设备算法,包括自动值搜索,可以悖论地诱导恶性心律不整.
- 这一案例突出了与ICD功能相关的罕见并发症.
研究的目的:
- 报告ICD治疗的罕见并发症.
- 突出自动值测试诱导心律失常的潜力.
- 强调ICD中的算法管理的重要性.
主要方法:
- 一个72岁的男性病例研究,他有心力衰竭和心血管阻塞史.
- 在心房值检查后,ICD询问显示了心室动.
- 耳前捕获管理被禁用,并监测患者.
主要成果:
- 心室动与心房值搜索直接相关.
- 禁用心房捕获管理解决了心律失常问题.
- 患者没有进一步的心室心律失常或ICD疗法.
结论:
- 在ICD中的自动值测量算法可以无意中触发心律失常.
- 编程和监控ICD算法对于患者安全至关重要.
- 新的ICD模型可能在值测试期间有更好的安全功能.
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