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植入式循环记录仪术后早期阶段不适当的心搏停止检测

Inappropriate asystole detection in early postoperative phase after loop recorder implantation.

作者信息

Bortnik Miriam, Occhetta Eraldo, Magnani Andrea, Degiovanni Anna, Marino Paolo

机构信息

Cardiology Division, Azienda Ospedaliera Maggiore della Carità, 28100 Novara, Italy.

出版信息

ISRN Cardiol. 2011;2011:146062. doi: 10.5402/2011/146062. Epub 2011 Apr 17.

DOI:10.5402/2011/146062
PMID:22347628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3262500/
Abstract

The implantable loop recorder is a useful diagnostic tool for patients with unexplained syncope. The capability to automatically detect and store arrhythmic events, implemented in the last generations of these devices, can further improve the diagnostic yield, but this feature can be compromised by inappropriate detection of false arrhythmias. We herein report the case of a patient in which several inappropriate activations of long-lasting asystole occurred in the two days following the implant, probably because of an intermittently loose contact between the device and subcutaneous tissue for a small pocket haematoma.

摘要

植入式循环记录仪是不明原因晕厥患者的一种有用诊断工具。在这些设备的最新一代产品中实现的自动检测和存储心律失常事件的功能，可以进一步提高诊断率，但这一功能可能会因错误心律失常的不适当检测而受到影响。我们在此报告一例患者，在植入后的两天内发生了几次持续时间较长的心脏停搏的不适当激活，可能是由于小口袋血肿导致设备与皮下组织之间间歇性松动接触所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0d/3262500/a7a46ea1fc3e/CARDIOLOGY2011-146062.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0d/3262500/0d89e506f1f2/CARDIOLOGY2011-146062.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0d/3262500/a7a46ea1fc3e/CARDIOLOGY2011-146062.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0d/3262500/0d89e506f1f2/CARDIOLOGY2011-146062.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc0d/3262500/a7a46ea1fc3e/CARDIOLOGY2011-146062.002.jpg

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本文引用的文献

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A media player causes clinically significant telemetry interference with implantable loop recorders.媒体播放器会对植入式环路记录器造成具有临床意义的遥测干扰。
J Interv Card Electrophysiol. 2009 Mar;24(2):99-103. doi: 10.1007/s10840-008-9332-0. Epub 2009 Jan 16.
2
Improved arrhythmia detection in implantable loop recorders.植入式循环记录仪中心律失常检测的改进
J Cardiovasc Electrophysiol. 2008 Sep;19(9):928-34. doi: 10.1111/j.1540-8167.2008.01156.x. Epub 2008 Apr 10.
3
Recurrent unexplained palpitations (RUP) study comparison of implantable loop recorder versus conventional diagnostic strategy.
不明原因反复心悸（RUP）研究：植入式循环记录仪与传统诊断策略的比较
J Am Coll Cardiol. 2007 May 15;49(19):1951-6. doi: 10.1016/j.jacc.2007.02.036. Epub 2007 Apr 30.
4
Safe scanning, but frequent artifacts mimicking bradycardia and tachycardia during magnetic resonance imaging (MRI) in patients with an implantable loop recorder (ILR).对于植入式循环记录仪（ILR）的患者，磁共振成像（MRI）期间扫描安全，但频繁出现模拟心动过缓和心动过速的伪影。
Ann Noninvasive Electrocardiol. 2005 Oct;10(4):404-8. doi: 10.1111/j.1542-474X.2005.00056.x.
5
Intrathoracic impedance monitoring in patients with heart failure: correlation with fluid status and feasibility of early warning preceding hospitalization.心力衰竭患者的胸腔内阻抗监测：与液体状态的相关性及住院前早期预警的可行性
Circulation. 2005 Aug 9;112(6):841-8. doi: 10.1161/CIRCULATIONAHA.104.492207. Epub 2005 Aug 1.
6
Interference by cellular telephone with an implantable loop recorder.移动电话对植入式循环记录仪的干扰。
J Interv Card Electrophysiol. 2005 Apr;12(3):237-40. doi: 10.1007/s10840-005-0303-4.
7
Guidelines on management (diagnosis and treatment) of syncope--update 2004.晕厥管理（诊断与治疗）指南——2004年更新版
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Pacing Clin Electrophysiol. 2000 Oct;23(10 Pt 1):1516-8. doi: 10.1046/j.1460-9592.2000.01516.x.