一份异常的心内电图显示了植入式心律转复除颤器（ICD）误放电的原因。
An unusual intracardiac electrogram showing cause for false electrical discharge from an ICD.
作者信息
Mohammed Ishaq, Ratib Karim, Creamer John
机构信息
Department of Cardiology/Medicine, West Midlands Deanery, Birmingham, UK.
出版信息
BMJ Case Rep. 2013 Aug 2;2013:bcr2013010202. doi: 10.1136/bcr-2013-010202.
Abstract
We describe a rare case of inappropriate implantable cardioverter defibrillator (ICD) therapy due to false sensing of electromechanical interference from diathermy as 'ventricular fibrillation (VF)'. This occurred during surgical removal of sternal wires under general anaesthesia. Postsurgical interrogation of ICD revealed the intracardiac electrogram showing the mechanical interference sensed as 'VF' by ICD and subsequent shock delivery.
摘要
我们描述了一例罕见的不适当植入式心脏复律除颤器（ICD）治疗案例，原因是将来自透热疗法的机电干扰误感知为“心室颤动（VF）”。这一情况发生在全身麻醉下进行胸骨钢丝取出手术期间。术后对ICD的问询显示，心内电图显示了被ICD误感知为“VF”并随后导致电击发放的机械干扰。
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