当睡眠模式变成梦时
Mihai Firescu1, Sahar Mohmed1, Andrew Thornley1
1Department of Cardiology, James Cook University Hospital, Middlesbrough, United Kingdom.
JACC. Case reports
|April 1, 2025
概括
心房节 (AVN) 切除可以导致心肌梗塞诱导的心室高心率,特别是在心脏起器"睡眠模式".
科学领域:
- 电力生理学 电力生理学
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 带有心脏起器插入的心房节 (AVN) 切除是症状心房动的标准治疗方法.
- 这种手术旨在控制心率并缓解症状.
研究的目的:
- 为了调查心脏起器诱导的腹腔动脉冲动 (PMVT) 发生在AVN切除后的病例.
- 为了确定带来PMVT的特定条件,在患有VVI-R心脏起器的患者.
主要方法:
- 一个病例研究详细介绍了一个患者在AVN切除后出现PMVT.
- 分析心脏起器设置,特别是"睡眠模式"功能,以及它对节奏率的影响.
- 观察夜间心,心室外皮和"R on T"现象之间的相关性.
主要成果:
- 患者经历了PMVT,因为在启用起器"睡眠模式"的夜间发生了勃拉迪心脏诱导的心室逃逸节奏.
- 较低的夜间节奏率促进了频繁的异位眼和"R on T"介导的PMVT.
- 禁用"睡眠模式"功能成功抑制了子宫外活动,并防止了PMVT的复发.
结论:
- 在AVN切除后可能出现PMVT,通常与相对的胸肌心脏状态有关.
- 节拍器编程,特别是像"睡眠模式"这样的功能,可以无意中创造条件,使得心引起的心室节律失常.
- 仔细调整心脏起器设置至关重要,以防止"R on T"现象和AVN切除后的PMVT.
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