Arrhythmia and Electrophysiology Centre, Clinica S. Rocco, Ome (BS), Italy.
J Cardiovasc Med (Hagerstown). 2010 Mar;11(3):186-9. doi: 10.2459/JCM.0b013e3283303036.
Atrial fibrillation and chronic heart failure often coexist. Asymptomatic atrial fibrillation is common in patients with known atrial fibrillation but also in patients with no history of previous atrial fibrillation. The enhanced diagnostic capabilities of modern implantable devices for cardiac resynchronization therapy allow collecting of data on the clinical status of the patient in addition to information on device performance and cardiac rhythm. We present a paradigmatic case of newly diagnosed atrial fibrillation with hemodynamic consequences detected by the diagnostics of a biventricular implantable cardioverter-defibrillator. We discuss the clinical utility of device-based monitoring and the potential advantages of wireless remote-control systems of implantable devices in the management of heart failure patients.
心房颤动和慢性心力衰竭常并存。无症状性心房颤动在已知心房颤动患者中很常见，在无既往心房颤动史的患者中也很常见。心脏再同步治疗的现代植入式设备增强了诊断能力，除了设备性能和心脏节律信息外，还可以收集患者临床状况的数据。我们介绍了一个新诊断的心房颤动的典型病例，该病例通过双心室植入式除颤器的诊断检测到了有血流动力学后果的心房颤动。我们讨论了基于设备的监测的临床实用性，以及在心力衰竭患者管理中使用植入设备的无线远程控制系统的潜在优势。
