在休息和运动期间对心室节拍患者进行皮下植入式心脏转换器除器资格的评估:一项前性观察性研究
Georgios Leventopoulos1, Kornilia Pepa2, Kassiani-Maria Nastouli2
1Department of Cardiology, University Hospital of Patras, Patras, 26504, Greece. levent2669@gmail.com.
概括
皮下植入式心脏转换器-除器 (S-ICD) 的适用性在节奏患者中较低. 运动查进一步降低了资格,突出了在这个人群中需要动态评估的需要.
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:
- 在皮下植入式心脏转换器-除器 (S-ICDs) 中,T波过度传感经常导致不适当的冲击.
- 心室节奏可以使S-ICD感应和资格评估复杂化.
研究的目的:
- 评估S-ICD查在患有心室节奏的患者中的可行性.
- 确定运动对该队列S-ICD资格的影响.
主要方法:
- 50名患有节拍器,ICD或CRT设备,表现出节奏QRS复合体的患者接受了自动化的S-ICD查.
- 资格标准包括在休息状态下 (仰卧,站立) 和在100bpm的跑步机运动中接受的传感载体.
主要成果:
- 只有34%的患者通过了休息时的S-ICD查;在运动期间,这一比例下降到16%.
- 右心室领头位置和心电图特征没有显著影响资格.
- 患者平均年龄为72.4岁,其中80%为男性.
结论:
- 在需要心室节拍的患者中,S-ICD的资格受到显著限制.
- 运动压力测试对于准确评估S-ICD适应性至关重要节奏的个体,而不是在非节奏的人群.
相关概念视频
Cardiopulmonary Resuscitation III: AED Use
536
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
536
Cardiomyopathy V: Interprofessional Care
338
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...
338
Pulse rhythm
1.3K
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...
1.3K
Acute Coronary Syndrome III: Diagnostic Studies
215
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
215
Heart Failure IV: Classification and Diagnostic Evaluation
321
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
321


