Wilbur S L, Marchlinski F E
Medical College of Pennsylvania Hahnemann University, Philadelphia, Pennsylvania 19102, USA.
Cardiol Rev. 1999 Jul-Aug;7(4):176-90. doi: 10.1097/00045415-199907000-00009.
Over the past few years, remarkable advances in the treatment of ventricular tachycardia, ventricular fibrillation, and sudden cardiac death have occurred. One of the most significant treatment modalities has been the addition of the implantable cardioverter-defibrillator (ICD). Because of the rapidly expanding indications for ICD therapy, it is common for internists, family practitioners, emergency room physicians, and general cardiologists to treat defibrillator patients. Basic skills related to ICD follow-up are therefore essential for many physicians. In this review, we will summarize routine device follow-up, provide instructions regarding emergency ICD deactivation, discuss common complications and how to detect them, and answer some frequently asked questions.
在过去几年中，室性心动过速、心室颤动和心源性猝死的治疗取得了显著进展。最重要的治疗方式之一是增加了植入式心脏复律除颤器（ICD）。由于ICD治疗的适应证迅速扩大，内科医生、家庭医生、急诊室医生和普通心脏病专家治疗除颤器患者的情况很常见。因此，许多医生掌握与ICD随访相关的基本技能至关重要。在这篇综述中，我们将总结常规设备随访，提供有关紧急停用ICD的指导，讨论常见并发症及其检测方法，并回答一些常见问题。
