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植入式心脏转换器-除器的前节律潜力
1Department of Cardiology, Cleveland Clinic Foundation, OH, USA.
Circulation
|September 15, 1995
概括
植入式心脏转换器-除器 (ICD) 预防心脏突然死亡,但可能导致心律失常. 优化ICD编程是最大限度地减少这种前节律失常风险的关键.
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:
- 植入式心脏转换器-除器 (ICD) 对于预防高风险个体的突然心脏死亡至关重要.
- 然而,ICD携带着引起或加剧心律失常的风险,称为前节律失常.
研究的目的:
- 探索ICD诱导的前节律失常的机制.
- 确定减轻ICD疗法的前节律潜在影响的策略.
主要方法:
- 分析与ICD疗法相关的临床数据和设备特定参数.
- 关于ICD编程和心律失常诱导的文献综述.
主要成果:
- 预节律障碍可能是ICDs提供的抗心或抗心治疗的结果.
- 除了技术限制之外,低于最佳的设备编程是导致心律失常的重要因素.
结论:
- ICDs的前节律效应,虽然很少致命,但会增加患者的发病率.
- 根据个人患者和心律失常的特征量身定制ICD的"电处方",可以最大限度地减少心律失常.
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