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皮下ICD运动安全注册表 (SISS注册表)

Martina Nesti¹, Pasquale Notarstefano², Luca Segreti³

¹Fondazione Toscana Gabriele Monasterio, Pisa, Italy.

International journal of cardiology

|October 6, 2025

概括

带有皮下植入式心脏转换器-除器 (S-ICD) 的患者在运动期间可能会经历冲击. 适当和不适当的冲击都在体育活动的高峰期更频繁地发生,但与运动类型或强度无关.

科学领域:

心脏病学心脏病学
电子生理学电子生理学
运动医学运动医学

背景情况:

运动有益于身体功能,但植入式心脏转换器-除器 (ICD) 在运动期间会带来风险.
在皮下ICD (S-ICD) 患者体育安全的数据是有限的.
这项研究调查了S-ICD接受者体育运动期间的节律失常事件.

研究的目的:

分析S-ICD患者体育运动期间适当和不适当的节律失常事件的发生率.
为了确定是否与身体活动的类型或强度相关的冲击事件.
为了确定导致S-ICD接受者在运动期间受到冲击的因素.

主要方法:

分析了连续S-ICD植入患者的注册表.
收集了临床数据,体育参与和心律失常事件.
38个月的随访数据评估了与活动水平相关的冲击事件.

主要成果:

在280名患者中,205人参加了体育运动. 13%的人经历了适当的冲击,主要是在休息状态下; 13.1%的人经历了不适当的冲击,通常是在T波过度传感导致的高峰活动期间.
在接受S-ICD用于二次预防的患者中发生了适当的冲击.
根据运动类型或强度,没有发现冲击率的显著差异.

结论:

在S-ICD患者中,适当和不适当的冲击在体力劳动的高峰期更频繁.
冲击与所从事的体育运动的类型或强度没有相关性.
适当的冲击与心律失常/缺血性心肌病相关;不适当的冲击源于T波过度传感.

关键词:

不适当的冲击.生活质量生活的质量.在S-ICD中,它是S-ICD.运动运动运动运动运动.室内节律失常症是什么意思

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