中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2009年
1期
28-30
,共3页
程凌%聂如琼%王景峰%袁沃亮%周淑娴%方昶
程凌%聶如瓊%王景峰%袁沃亮%週淑嫻%方昶
정릉%섭여경%왕경봉%원옥량%주숙한%방창
除颤器,植入型%猝死,心脏%电抗休克
除顫器,植入型%猝死,心髒%電抗休剋
제전기,식입형%졸사,심장%전항휴극
Defibrillator,impantable%Death,sudden,cardiac%Electric countershock
目的 分析植入型心律转复除颤器(ICD)不恰当放电发生情况及常见原因.方法 2001年11月至2007年10月植入ICD并长期随访的43例患者.通过定期随访查询ICD中存储的事件信息,根据腔内电图判断事件是否为不恰当放电.结果 43例患者中有7例发生了96次不恰当放电.6 例患者是室上性心动过速引起,1 例是干扰引起.5 例患者第1次不恰当放电发生在植入ICD后1年内.植入ICD前有心房颤动(房颤)病史是发生不恰当放电的独立预测因子.结论 植入ICD前有房颤病史的患者较易出现不恰当放电,临床应多予以重视.
目的 分析植入型心律轉複除顫器(ICD)不恰噹放電髮生情況及常見原因.方法 2001年11月至2007年10月植入ICD併長期隨訪的43例患者.通過定期隨訪查詢ICD中存儲的事件信息,根據腔內電圖判斷事件是否為不恰噹放電.結果 43例患者中有7例髮生瞭96次不恰噹放電.6 例患者是室上性心動過速引起,1 例是榦擾引起.5 例患者第1次不恰噹放電髮生在植入ICD後1年內.植入ICD前有心房顫動(房顫)病史是髮生不恰噹放電的獨立預測因子.結論 植入ICD前有房顫病史的患者較易齣現不恰噹放電,臨床應多予以重視.
목적 분석식입형심률전복제전기(ICD)불흡당방전발생정황급상견원인.방법 2001년11월지2007년10월식입ICD병장기수방적43례환자.통과정기수방사순ICD중존저적사건신식,근거강내전도판단사건시부위불흡당방전.결과 43례환자중유7례발생료96차불흡당방전.6 례환자시실상성심동과속인기,1 례시간우인기.5 례환자제1차불흡당방전발생재식입ICD후1년내.식입ICD전유심방전동(방전)병사시발생불흡당방전적독립예측인자.결론 식입ICD전유방전병사적환자교역출현불흡당방전,림상응다여이중시.
Objective Implantable cardioverter defibrillator(ICD)can effectively treat lifethreatening ventricular arrhythmias.The most common side effect is inappropriate discharge.This study analyzes the incidence and causes of inappropriate discharges of ICD in our hospital.Methods Forty.threepatients implanted with ICD in our hospital from November 2001 to October 2007 were involved in our study.Patients were followed-up regularly.All episodes recorded and stored in the ICD were analyzed.Results Seven of the 43 patients underwent ninety-six inappropriate discharges.Inappropriate discharges in six patients were caused by supraventricular tachyarrhythmias(SVT).In one patient the discharge was caused by noise.Most inappropriate discharges occurred in the first year after implantation.The history of atrial fibrillation before implantation is an independent predictor of inappropriate discharges.Conclusions The incidence of inappropriate discharge is 16.3%in our study and the most common cause is SVT.Most inappropriate discharges occur in the first year after implantation.Patients with atrial fibrillation history have a higher risk of inappropriate discharges.