Schulman Peter, Gelow Jill, Matthias Merkel, Mudd James, Wei Kevin, Hutchens Michael
Oregon Health & Science University, Department of Anesthesiology and Perioperative Medicine.
Oregon Health & Science University, Knight Cardiovascular Institute.
J Investig Med High Impact Case Rep. 2014 Jan;2(1). doi: 10.1177/2324709614524945.
A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.
一名患有终末期心力衰竭且植入连续血流左心室辅助装置的70岁男性，其双心室植入式心脏除颤器多次放电。尽管心电图显示为心室颤动，但患者清醒且无不适。进行了一次重点经胸超声心动图检查以评估心室功能，结果显示心房窦性心律与心室颤动同时存在。这种临床情况突出了一种独特的临床发现、连续血流左心室辅助装置患者护理的复杂性以及重症监护医生在床边进行重点经胸超声心动图检查所面临的挑战。
