摘要
目的 探讨单腔植入型心律转复除颤器（ICD） 不同识别参数设置对不恰当放电的影响.方法 A组入选25例2007年至2008年植入单腔ICD的患者,术后经验设置室性心律失常与室上性心动过速鉴别参数.B组入选25例2009年至2010年植入单腔ICD的患者,术后开启稳定性、突发性和形态学标准.每例随访1年.观察两组室上性心动过速正确识别率和不恰当放电率.结果 与A组相比,B组对室上性心动过速正确识别率较高（68.0%、28.0%）,室上性心动过速放电率较低（24.0%、76.0%）,不恰当放电所致住院率较低（4.0%、20.0%）.A组不恰当放电引发室性心动过速2例.结论 术后启用三项鉴别参数能减少ICD不恰当放电.
Objective To explore the effect of different detection algorithms on inappropriate shocks caused by single chamber implantable cardioverter defibrillators （ICD）. Methods 25 patients implanted with single chamber ICD during 2007-2008 were included in group A and another 25 patients implanted with single chamber ICD during 2009-2010 were included in group B. The parameters identifying ventricular and supraventricular tachycardia（SVT） were set based on per- sonal experiences in group A. While the criteria such as stability, sudden-onset and morphology were implemented after the procedure in group B. All the patients were followed up for a year. The diagnosis accuracy of SVT and inappropriate shocks were analyzed. Results The percentage of correct diagnoses of SVT was higher in group B than in group A （68.0% vs.28.0%）. Inappropriate shocks and hospitalization for inappropriate shocks were less in group B （20.0% vs. 84.0%） than in group A （24.0% vs.76.0%）. Ventricular tachycardia was induced by inappropriate shocks in 2 cases of group A. Conclusion The application of stability, sudden-onset and morphology after procedure may reduce inappro- priate shocks caused by ICD.
出处
《心电与循环》
2012年第3期155-156,184,共3页
Journal of Electrocardiology and Circulation
基金
温州市科技局课题（Y20110156）
关键词
植入型心律转复除颤器
不恰当放电
室上性心动过速
Implantable cardioverter defibrillators
Inappropriate shocks
Supraventricular tachcardia
