植入式心脏除颤器在膈肌肌肉活动过度感知期间发放的不适当电击。
Inappropriate shocks delivered by implantable cardiac defibrillators during oversensing of activity of diaphagmatic muscle.
作者信息
Babuty D, Fauchier L, Cosnay P
机构信息
Cardiology B Department, Hospital Trousseau, 37044 Tours, France.
出版信息
Heart. 1999 Jan;81(1):94-6. doi: 10.1136/hrt.81.1.94.
Abstract
Two cases are reported (both men, one 72 and one 54 years old) of inappropriate shocks delivered by an implantable cardiac defibrillator (ICD) device, which oversensed the myopotentials induced by deep breathing and Valsalva manoeuvre. No damage to leads was associated with the oversensing of myopotentials. The mechanism of the inappropriate shocks was determined using real time electrograms. Modification of the duration of ventricular detection and decrease in sensitivity made it possible to avoid the oversensing of myopotentials and to deliver ICD treatment.
摘要
报告了两例植入式心脏除颤器（ICD）不恰当电击的病例（均为男性，一例72岁，另一例54岁），该设备过度感知了深呼吸和瓦尔萨尔瓦动作诱发的肌电位。肌电位过度感知未伴有导线损伤。通过实时心电图确定了不恰当电击的机制。调整心室检测时长并降低灵敏度，从而避免了肌电位的过度感知并实现了ICD治疗。
相似文献
1
Inappropriate shocks delivered by implantable cardiac defibrillators during oversensing of activity of diaphagmatic muscle.植入式心脏除颤器在膈肌肌肉活动过度感知期间发放的不适当电击。
Heart. 1999 Jan;81(1):94-6. doi: 10.1136/hrt.81.1.94.
2
Inappropriate shocks from implanted cardioverter defibrillators caused by sensing of diaphragmatic myopotentials.植入式心脏复律除颤器因感知膈肌肌电位而产生不适当电击。
J Interv Card Electrophysiol. 1998 Dec;2(4):367-70. doi: 10.1023/a:1009768822780.
3
Inappropriate discharges from an intravenous implantable cardioverter defibrillator due to T-wave oversensing.
Jpn Circ J. 2001 Jul;65(7):685-7. doi: 10.1253/jcj.65.685.
4
T-wave oversensing and inappropriate shocks: a case report.T波感知过度与不恰当电击：一例病例报告
Europace. 2008 May;10(5):552-5. doi: 10.1093/europace/eun083.
5
Strategy to eliminate inappropriate shocks secondary to T-wave oversensing in a biventricular ICD.
Pacing Clin Electrophysiol. 2009 Jan;32(1):134-6. doi: 10.1111/j.1540-8159.2009.02187.x.
6
Repetitive Implantable Cardioverter Defibrillator Shocks: What is the Mechanism?重复性植入式心脏复律除颤器电击：机制是什么？
Pacing Clin Electrophysiol. 2015 Jul;38(7):899-901. doi: 10.1111/pace.12528. Epub 2014 Oct 17.
7
Potential role of home monitoring to reduce inappropriate shocks in implantable cardioverter-defibrillator patients due to lead failure.家庭监测在减少植入式心脏复律除颤器患者因导线故障导致的不适当电击方面的潜在作用。
Europace. 2009 Apr;11(4):483-8. doi: 10.1093/europace/eun350. Epub 2008 Dec 22.
8
Is modification of the VVI backup mode in implantable cardioverter-defibrillators from St Jude medical required due to increased risk of inappropriate shocks?
Europace. 2017 May 1;19(5):808-811. doi: 10.1093/europace/euw083.
9
[Optimisation of subcutaneous defibrillator programming after inappropriate shocks due to new onset of right bundle branch block].[因新发右束支传导阻滞导致不适当电击后皮下除颤器程控的优化]
Herzschrittmacherther Elektrophysiol. 2016 Dec;27(4):399-403. doi: 10.1007/s00399-016-0461-3.
10
Subcutaneous Implantable Cardioverter Defibrillator Lead Repositioning for Preventing Inappropriate Shocks Due to Myopotential Oversensing in a Post-Fulminant Myocarditis Patient.皮下植入式心脏复律除颤器导线重新定位以预防暴发性心肌炎患者因肌电位过度感知导致的不适当电击
Int Heart J. 2019 Mar 20;60(2):466-469. doi: 10.1536/ihj.18-324. Epub 2019 Feb 8.
引用本文的文献
1
Ventricular pacing inhibition by oversensing due to diaphragmatic myopotential during deep inspiration.深吸气时膈肌肌电位导致过感知引起的心室起搏抑制
J Cardiol Cases. 2013 Jun 25;8(2):e81-e84. doi: 10.1016/j.jccase.2013.04.008. eCollection 2013 Aug.
2
Inappropriate Shock delivered by Implantable Cardioverter Defibrillator--Cardiac Resynchronization Therapy (ICD-CRT) due to myopotential oversensing.植入式心脏复律除颤器因肌电位过度感知导致不适当电击——心脏再同步治疗（ICD-CRT）
Indian Pacing Electrophysiol J. 2009;9(1):71-4. Epub 2009 Jan 7.
3
A fortuitous syncope. The pitfalls of integrated bipolar defibrillator leads.一例偶发性晕厥。集成式双极除颤器导线的陷阱。
Indian Pacing Electrophysiol J. 2008;8(4):312-6. Epub 2008 Nov 1.
4
Prevalence of sensing abnormalities in dual chamber implantable cardioverter defibrillators.双腔植入式心脏复律除颤器感知异常的患病率
Ann Noninvasive Electrocardiol. 2003 Jul;8(3):219-26. doi: 10.1046/j.1542-474x.2003.08309.x.
5
Inappropriate shock delivery and biventricular pacing cardiac defibrillators.不适当的电击发放与双心室起搏心脏除颤器
Tex Heart Inst J. 2003;30(1):45-9.
6
Inappropriate arrhythmia detection in implantable defibrillator therapy due to oversensing of diaphragmatic myopotentials.植入式除颤器治疗中因膈肌肌电位过度感知导致的不适当心律失常检测。
J Interv Card Electrophysiol. 2001 Dec;5(4):487-93. doi: 10.1023/a:1013214516002.
Zotero 插件