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植入式心脏复律除颤器及抗心律失常药物在一名产妇中的应用。

Use of implantable cardioverter defibrillator and anti-arrhythmic agents in a parturient.

作者信息

Olufolabi A J, Charlton G A, Allen S A, Mettam I M, Roberts P R

机构信息

Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Br J Anaesth. 2002 Oct;89(4):652-5. doi: 10.1093/bja/aef230.

DOI:10.1093/bja/aef230
PMID:12393373
Abstract

We describe a case of a 36-yr-old patient who presented at 14 weeks gestation with multifocal dysrrhythmic episodes. Despite treatment with anti-arrythmic agents and an implantable cardioverter defibrillator (ICD) in situ, she continued to experience persistent dysrrhythmic episodes. She was delivered by Caesarean section at 34 weeks under general anaesthesia. We discuss some of the anaesthetic challenges of parturients with ICD devices.

摘要

我们描述了一例36岁的患者,她在妊娠14周时出现多灶性心律失常发作。尽管使用了抗心律失常药物并植入了植入式心脏复律除颤器(ICD),但她仍持续出现心律失常发作。她在34周时在全身麻醉下接受了剖宫产。我们讨论了患有ICD装置的产妇的一些麻醉挑战。

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引用本文的文献

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Management of Implantable Cardioverter-Defibrillators during Pregnancy-A Systematic Review.孕期植入式心脏复律除颤器的管理——一项系统评价
J Clin Med. 2021 Apr 14;10(8):1675. doi: 10.3390/jcm10081675.
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Successful delivery by a cesarean section in a parturient with severe dilated cardiomyopathy, an implantable cardioverter defibrillator, and a repaired tetralogy of fallot.一名患有严重扩张型心肌病、植入式心脏复律除颤器且法洛四联症已修复的产妇成功进行剖宫产分娩。
Heart Views. 2011 Jan;12(1):26-31. doi: 10.4103/1995-705X.81556.