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[植入式起搏器患者门诊监测时间对评估装置参数危险变化的影响]

[Impact of the time of outpatient monitoring of patients with implanted pacemakers to evaluate dangerous changes in the parameters of apparatuses].

作者信息

Dubrovskiĭ I A, Kostyleva O V

出版信息

Med Tekh. 2002 Nov-Dec(6):44-6.

PMID:12506751
Abstract

Patients with implanted pacemakers (PM) should pass outpatient monitoring at definite intervals given in the PM certificate. The paper shows that the monitoring periods in the patients are frequently violated, therefore the voltage of the PM battery is less than the critical level at which the PM is to be replaced. As the discharge of the battery is less than the critical level, the electronic unit of the PM begins first to regenerate an irregular sequence of stimulating pulses and then the generation of pulses stops. Thus, if the outpatient monitoring intervals in patients with implanted PM are over those given in the PM certificate, this will cause errors in encoding the causes of replacement of a PM, followed by dangerous changes in its parameters.

摘要

植入起搏器(PM)的患者应按照起搏器证书规定的固定间隔进行门诊监测。该论文表明,患者的监测周期经常被违反,因此起搏器电池的电压低于应更换起搏器的临界水平。由于电池放电低于临界水平,起搏器的电子单元首先开始产生不规则的刺激脉冲序列,然后脉冲生成停止。因此,如果植入起搏器患者的门诊监测间隔超过起搏器证书规定的间隔,这将导致起搏器更换原因编码错误,进而导致其参数出现危险变化。

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