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致心律失常性右室心肌病患者胸内阻抗异常的罕见原因。

An unusual cause of abnormal intrathoracic impedance in a patient with arrhythmogenic right ventricular cardiomyopathy.

作者信息

Kramer Daniel B, Maisel William H

机构信息

Cardiovascular Institute, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, Massachusetts 02215, USA.

出版信息

Pacing Clin Electrophysiol. 2011 Jul;34(7):e60-3. doi: 10.1111/j.1540-8159.2010.02774.x. Epub 2010 Apr 26.

DOI:10.1111/j.1540-8159.2010.02774.x
PMID:20456645
Abstract

A device interrogation for a 32-year-old woman with arrhythmogenic right ventricular cardiomyopathy and an implantable cardioverter-defibrillator capable of monitoring intrathoracic impedance demonstrated a dramatic increase in her OptiVol Fluid index levels in the absence of clinical heart failure. The timing of her intrathoracic impedance changes correlated with plasma volume changes during an uneventful pregnancy without cardiovascular complications. The strengths and limitations of intrathoracic impedance are described in the context of the physiology of pregnancy.

摘要

对一名32岁患有致心律失常性右室心肌病且植入了可监测胸内阻抗的植入式心脏复律除颤器的女性进行设备问询时发现,在无临床心力衰竭的情况下,其OptiVol液体指数水平显著升高。在一次无心血管并发症的正常妊娠期间,她胸内阻抗变化的时间与血浆容量变化相关。在妊娠生理学的背景下描述了胸内阻抗的优势和局限性。

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引用本文的文献

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Respir Physiol Neurobiol. 2014 Oct 1;202:75-81. doi: 10.1016/j.resp.2014.08.001. Epub 2014 Aug 14.
2
OptiVol fluid index predicts acute decompensation of heart failure with a high rate of unexplained events.OptiVol 血流动力学指数预测心力衰竭急性失代偿的准确率较高,但仍存在大量无法解释的事件。
J Geriatr Cardiol. 2013 Sep;10(3):253-7. doi: 10.3969/j.issn.1671-5411.2013.03.012.
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Feasibility of using multivector impedance to monitor pulmonary congestion in heart failure patients.
利用多向量阻抗监测心力衰竭患者肺充血情况的可行性。
J Interv Card Electrophysiol. 2012 Nov;35(2):197-206. doi: 10.1007/s10840-012-9693-2. Epub 2012 Jun 12.