Krishen A, Shepard R K, Leffler J A, Wood M A, Ellenbogen K A
Division of Cardiac Electrophysiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0053, USA.
Pacing Clin Electrophysiol. 2001 Nov;24(11):1701-3. doi: 10.1046/j.1460-9592.2001.01701.x.
This case report highlights a previously unreported cause of T wave oversensing in a patient with an ICD and recent onset diabetes. Consistent T wave oversensing was observed at elevated serum glucose levels and this finding was reproduced with a glucose challenge. No T wave oversensing was seen during treatment of hyperglycemia. Alterations in serum chemistry may account for intermittent T wave oversensing in patients with ICDs.
本病例报告强调了在一名植入式心律转复除颤器（ICD）且近期发病的糖尿病患者中，一种此前未报告的T波感知过度的原因。在血清葡萄糖水平升高时观察到持续的T波感知过度，并且通过葡萄糖激发试验重现了这一发现。在高血糖治疗期间未观察到T波感知过度。血清化学成分的改变可能是ICD患者间歇性T波感知过度的原因。
