摘要
目的总结分析埋藏式心脏转复除颤器(ICD)不恰当识别与治疗的原因及处理对策。方法对34例植入ICD患者记录的相关信息进行分析、归类,统计ICD记录的各个事件的次数、ICD不恰当识别及治疗的原因。结果随访20.07±21.66(1～71)个月,ICD记录室性心律失常事件共289次,7例接受不恰当的识别和治疗,ICD电击治疗83次,不恰当电击治疗21次(其中因心房颤动所致6次,阵发性室上性心动过速12次,肌电干扰3次),占电击治疗总数的25.30%(21/83),通过调整ICD的相关参数、应用抗心律失常药物、行射频消融手术,对不同的病例进行个体化处理。结论室上性快速心律失常是ICD不恰当电击治疗的主要原因,对于ICD植入患者,应进行个体化的程控和治疗,以减少不恰当识别及治疗事件的发生。
Objective To analyze the causes of inappropriate detections and treatments in patients with implantable cardioverter defibrillator （ICD）. Method Thirty-four patients who received ICD were followed up. The information kept in ICD was analyzed and classified. The reasons of inappropriate detection and therapy and the times of different events were recorded. Result After follow-up20.07 ±21.66（1 -71）months, 289 ventricular arrhythmia events were recorded,7 patients received inappropriate detection and therapy. The sum number of inappropriate shocks were 21 times（ atrial fibril- lation accounted for 6 times, paroxysmal supraventricular tachycardia accounted for 12 times, myopotential-interference accounted for 3 times） , which accounted for 25.30% （21/83） of the total shocks. Different patients were dealt with different programs such as adjusting relative parameters,applying antiarrhythmic drug and radiofrequency current ablation. Conclusion Supraventricular tachycardia is the main cause of the inappropriate shock. For patients with ICD, It is important to program ICD individually to reduce events of inappropriate detection and therapy. [ Chinese Journal of Cardiac Pacing and Electrophysiology,2010,24（2） ： 125 - 127 ]
出处
《中国心脏起搏与心电生理杂志》
北大核心
2010年第2期125-127,共3页
Chinese Journal of Cardiac Pacing and Electrophysiology
关键词
心血管病学
埋藏式心脏转复除颤器
不恰当识别
不恰当治疗
Cardiolgoy
Implantable cardioverter defibrillator
Inappropriate detection
Inappropriate therapy
