Israel C W
Klinik für Innere Medizin - Kardiologie & Angiologie, Evangelisches Krankenhaus Bielefeld, Burgsteig 13, 33617, Bielefeld, Deutschland.
Herzschrittmacherther Elektrophysiol. 2010 Mar;21(1):53-70. doi: 10.1007/s00399-010-0070-5. Epub 2010 Mar 24.
Stored electrograms (EGMs) significantly improve pacemaker and ICD therapy. In pacemaker systems, the main focus of stored EGMs concerns the manual control of device detection of atrial tachyarrhythmias, especially atrial fibrillation. In ICD therapy, stored EGMs allow the discrimination of adequate and inadequate detection of ventricular tachycardia. This review presents the implementation of stored EGMs in systems from St. Jude Medical and explains the mode of EGM storage and marker annotations, which are useful for interpretation of stored EGMs and to understand the way the device interprets the EGM. Clinical examples illustrate appropriate and inappropriate device classifications.
存储的心内电信号(EGM)显著改善了起搏器和植入式心律转复除颤器(ICD)的治疗效果。在起搏器系统中,存储EGM的主要关注点在于对设备检测房性快速心律失常(尤其是心房颤动)的手动控制。在ICD治疗中,存储的EGM有助于区分对室性心动过速的检测是否充分。本综述介绍了圣犹达医疗公司系统中存储EGM的实现方式,并解释了EGM的存储模式和标记注释,这对于解读存储的EGM以及理解设备解读EGM的方式很有用。临床实例说明了设备的正确和错误分类。