两名植入式心律转复除颤器功能正常的心脏移植患者发生心源性猝死。
Sudden cardiac death of two heart transplant patients with correctly functioning implantable cardioverter defibrillators.
作者信息
Marzoa-Rivas Raquel, Perez-Alvarez Luisa, Paniagua-Martin Maria J, Ricoy-Martinez Enrique, Flores-Ríos Xacobe, Rodriguez-Fernandez Jose Angel, Salgado-Fernandez Jorge, Franco-Gutierrez Raul, Cuenca-Castillo Jose J, Herrera Jose M, Capdevila Ana, Vazquez Patricia, Castro-Beiras Alfonso, Crespo-Leiro Maria G
机构信息
Heart Failure and Transplant Unit, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain.
出版信息
J Heart Lung Transplant. 2009 Apr;28(4):412-4. doi: 10.1016/j.healun.2009.01.011.
It is unclear whether the usual criteria for implantation of implantable cardioverter defibrillators in patients at risk of sudden death can be generalized to heart transplant recipients. We describe sudden death in 2 heart transplant recipients despite correctly functioning implantable cardioverter defibrillators. The scant relevant literature is reviewed. We conclude that implantable cardioverter defibrillators are unlikely to assist heart transplant recipients with severe coronary allograft vasculopathy and poor ventricular systolic function, the group with the highest incidence of sudden death.
对于有猝死风险的患者，植入式心脏复律除颤器植入的常规标准是否可推广至心脏移植受者尚不清楚。我们描述了2例心脏移植受者尽管植入式心脏复律除颤器功能正常但仍发生猝死的情况。并对相关的少量文献进行了综述。我们得出结论，植入式心脏复律除颤器不太可能帮助患有严重冠状动脉移植血管病变和心室收缩功能差的心脏移植受者，而这是猝死发生率最高的群体。
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