Khastgir T, Aarons D, Veltri E
Department of Medicine, Sinai Hospital of Baltimore, Maryland 21215.
Pacing Clin Electrophysiol. 1991 Mar;14(3):395-8. doi: 10.1111/j.1540-8159.1991.tb04085.x.
Two cases of sudden bradyarrhythmic death necessitating cardiopulmonary resuscitation in patients with the automatic implantable cardioverter-defibrillator are described. One patient had sudden bradyarrhythmic death while being monitored in the hospital. This patient could not be resuscitated and represents the first reported sudden cardiac death secondary to bradyarrhythmia in a patient with the automatic implantable cardioverter-defibrillator. The second patient had an out-of-hospital sudden death followed by probable cardioverter-defibrillator discharge, leading to complete heart block with escape ventricular rhythm necessitating immediate temporary pacemaker insertion. These cases highlight the need for bradycardia back-up pacing and event monitoring in the newer tachyarrhythmia management devices.
本文描述了两例植入自动植入式心律转复除颤器（AICD）的患者发生需要心肺复苏的突发性缓慢性心律失常死亡病例。一例患者在医院监测期间发生突发性缓慢性心律失常死亡，未能复苏成功，这是首例报道的AICD患者继发于缓慢性心律失常的心脏性猝死。另一例患者院外猝死，随后可能发生了心律转复除颤器放电，导致完全性心脏传导阻滞伴逸搏心室节律，需要立即插入临时起搏器。这些病例凸显了在新型快速性心律失常管理设备中进行缓慢性心律失常备用起搏和事件监测的必要性。
