Fernández-González Angel L, García Bengochea José B, Cortés Laíño Joaquín, Martínez Monzonis Amparo, Veiras del Río Sonia, Alvarez Escudero Julian
Division of Cardiac Surgery, University Hospital, Ave. Choupana, s/n, 15706 Santiago de Compostela, Spain.
Asian Cardiovasc Thorac Ann. 2010 Feb;18(1):77-8. doi: 10.1177/0218492309354388.
A 50-year-old man with heart failure, systolic dysfunction, and abnormal septal motion underwent ventricular resynchronization. Postoperative clinical and echocardiographic improvement was observed. Several months later, he complained of worsening functional class after a traffic accident. Pacing lead fracture was diagnosed. After replacing the lead, improvement of clinical condition and ventricular parameters was achieved. The role of seat belts in causing dysfunction of pacemakers and resynchronization devices after deceleration injury is discussed.
一名患有心力衰竭、收缩功能障碍及室间隔运动异常的50岁男性接受了心室再同步治疗。术后观察到临床及超声心动图表现改善。数月后，他因交通事故后功能分级恶化前来就诊。诊断为起搏电极导线断裂。更换导线后，临床状况及心室参数得到改善。本文讨论了减速损伤后安全带对起搏器及再同步装置功能障碍的影响。
