一个短路,两个新的皮下植入式心脏除器并发症
Alexander P Bates1, Saskia Leighton1, Clare Atha1
1Dorset Heart Centre, Royal Bournemouth Hospital, Castle Lane E, Bournemouth BH7 7DW, UK.
European heart journal. Case reports
|March 6, 2026
概括
心脏植入式电子设备 (CIED) 的短路可能导致故障和不可预测的行为. 这一案例突出了两种新型的皮下植入式心脏除器 (SICD) 并发症,这些并发症是由于绝缘断裂和短路引起的.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 心脏植入式电子设备 (CIED) 的短路可能导致电流泄漏,设备故障和不可预测的患者结果.
- 这些问题带来了风险,包括不适当的冲击和潜在的患者伤害.
研究的目的:
- 报告与皮下植入式心脏除器 (SICD) 相关的两种新型并发症,这些并发症源于绝缘断裂和短路.
- 强调有关设备行为和潜在并发症的操作员知识的重要性.
主要方法:
- 一份病例报告,详细介绍了一名接受SICD发电机更换的患者.
- 对设备阻抗和复杂后设备提取的分析,以确定故障的原因.
主要成果:
- 患者经历了两种不同的并发症:由于短路 (<1Ω阻抗) 而导致的失败除测试和由电容器改革引起的"不适当"冲击.
- 设备的提取揭示了绝缘破坏作为两个SICD并发症的根本原因.
结论:
- 在CIED,特别是SICD中出现短路,可能会导致严重和不可预测的并发症,包括设备故障和伤害患者.
- 操作人员对电容器改造和短路的影响等潜在问题的认识对于设备程序期间的患者安全至关重要.
相关概念视频
Cardiomyopathy V: Interprofessional Care
558
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...
558
Cardiopulmonary Resuscitation III: AED Use
953
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...
953
Cardiac Catheterization I: Pre-Procedure Overview
1.9K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.9K
Cardiomyopathy II: Dilated Cardiomyopathy
687
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
687
Cardiac Catheterization IV: Nursing Management
922
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
922
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
1.2K
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
1.2K


