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单腔起搏器感知过度:机制、诊断与治疗

Oversensing by single-chamber pacemakers: mechanisms, diagnosis, and treatment.

作者信息

Barold S S, Falkoff M D, Ong L S, Heinle R A

出版信息

Cardiol Clin. 1985 Nov;3(4):565-85.

PMID:2417708
Abstract

Signals responsible for pacemaker oversensing may arise from the pacing system itself, P or T wave, concealed ventricular extrasystoles, skeletal muscle potentials, and distant electromagnetic fields. Oversensing is the most common cause of pacemaker pauses and a common clinical problem during follow-up of patients with implanted pulse generators. This article reviews the mechanisms and diagnosis of oversensing and the importance of multiprogrammability for its treatment.

摘要

导致起搏器感知过度的信号可能源于起搏系统本身、P波或T波、隐匿性室性期前收缩、骨骼肌电位以及远处的电磁场。感知过度是起搏器停顿的最常见原因,也是植入脉冲发生器患者随访期间常见的临床问题。本文综述了感知过度的机制、诊断以及多程控功能在其治疗中的重要性。

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Indian Pacing Electrophysiol J. 2022 Jan-Feb;22(1):30-33. doi: 10.1016/j.ipej.2021.09.001. Epub 2021 Sep 4.
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Transient hyperkalemia-induced T-wave oversensing as a cause of inappropriate ICD discharges.短暂性高钾血症诱发的T波感知过度作为植入式心律转复除颤器不适当放电的一个原因
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Development of ventricular fibrillation after implantation of a biventricular implantable cardioverter defibrillator: what is the mechanism?
双心室植入式心脏复律除颤器植入后发生心室颤动:机制是什么?
Clin Case Rep. 2017 Jun 2;5(7):1176-1180. doi: 10.1002/ccr3.1020. eCollection 2017 Jul.
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A case of inappropriate implantable cardioverter defibrillator therapy induced by T-wave oversensing due to hyperkalemia.一例因高钾血症导致T波感知过度引起的不适当植入式心脏复律除颤器治疗病例。
J Arrhythm. 2015 Dec;31(6):395-7. doi: 10.1016/j.joa.2015.04.007. Epub 2015 Jun 9.
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Far-field P-wave sensing by the right ventricular lead of conventional dual chamber pacemakers.传统双腔起搏器右心室电极进行远场P波感知。
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