Reynolds J, Apple S
Cardiac Electrophysiology Laboratories, Washington Hospital Center, Washington, DC, USA.
AACN Clin Issues. 2001 Feb;12(1):114-26. doi: 10.1097/00044067-200102000-00012.
Despite the increasing use of pacemaker therapy, assessment of pacemaker function and electrocardiogram (ECG) interpretation continue to challenge even experienced critical care nurses. Accurate assessment of pacemaker function is essential in the evaluation of patients, especially patients with symptoms that may be related to pacemaker malfunction such as syncope or palpitations. This article will review pacing concepts and pacing system components. A systematic approach to ECG interpretation will be presented that can be used in a variety of clinical settings.
尽管起搏器治疗的使用越来越广泛,但即使是经验丰富的重症监护护士,对起搏器功能的评估和心电图(ECG)解读仍具有挑战性。准确评估起搏器功能对于患者评估至关重要,尤其是对于那些可能与起搏器故障相关症状(如晕厥或心悸)的患者。本文将回顾起搏概念和起搏系统组件。还将介绍一种可用于各种临床环境的系统心电图解读方法。