两例因CRTD和ICD自动阈值测量功能导致的室性心律失常病例
Two Cases of Ventricular Proarrhythmia from Automatic Threshold Measurement Features in a CRTD and an ICD.
作者信息
Kristensen Jens, Gerdes Christian, Nielsen Jens Cosedis
机构信息
Department of Cardiology, Section for Pacing and Electrophysiology, Aarhus University Hospital Skejby, Aarhus, Denmark.
出版信息
Ann Noninvasive Electrocardiol. 2015 Nov;20(6):604-8. doi: 10.1111/anec.12250. Epub 2014 Dec 26.
Abstract
The present case report presents two cases in which automatic threshold measurement features in an implantable cardiac defibrillator and in a CRTD act proarrhythmic by inducing polymorphic ventricular arrhythmia. By programming these features off the problem was solved. The mechanisms seem to be different from previously reported proarrhythmic interactions from such device features.
摘要
本病例报告介绍了两例病例，其中植入式心脏除颤器和心脏再同步化治疗除颤器（CRTD）中的自动阈值测量功能通过诱发多形性室性心律失常而发挥促心律失常作用。通过关闭这些功能，问题得以解决。其机制似乎与先前报道的此类设备功能的促心律失常相互作用不同。
相似文献
1
Two Cases of Ventricular Proarrhythmia from Automatic Threshold Measurement Features in a CRTD and an ICD.两例因CRTD和ICD自动阈值测量功能导致的室性心律失常病例
Ann Noninvasive Electrocardiol. 2015 Nov;20(6):604-8. doi: 10.1111/anec.12250. Epub 2014 Dec 26.
2
Rate smoothing induced ventricular arrhythmia and syncope: a new device-induced proarrhythmia.率平滑引起的室性心律失常和晕厥：一种新的器械相关致心律失常。
Europace. 2010 Jan;12(1):136-7. doi: 10.1093/europace/eup356.
3
Response of right ventricular size to treatment with cardiac resynchronization therapy and the risk of ventricular tachyarrhythmias in MADIT-CRT.心脏再同步治疗对右心室大小的反应与 MADIT-CRT 中室性心律失常的风险。
Heart Rhythm. 2013 Oct;10(10):1471-7. doi: 10.1016/j.hrthm.2013.07.029. Epub 2013 Jul 19.
4
Reverse remodeling and the risk of ventricular tachyarrhythmias in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy).MADIT-CRT（多中心自动除颤器植入试验-心脏再同步治疗）中的逆向重构与室性心律失常风险。
J Am Coll Cardiol. 2011 Jun 14;57(24):2416-23. doi: 10.1016/j.jacc.2010.12.041.
5
Renal dysfunction and clinical outcomes of patients undergoing ICD and CRTD implantation: data from the Israeli ICD registry.植入式心律转复除颤器（ICD）和心脏再同步化治疗除颤器（CRTD）植入患者的肾功能障碍与临床结局：来自以色列ICD注册研究的数据
J Cardiovasc Electrophysiol. 2014 Sep;25(9):990-997. doi: 10.1111/jce.12442. Epub 2014 Jun 6.
6
Association between frequency of atrial and ventricular ectopic beats and biventricular pacing percentage and outcomes in patients with cardiac resynchronization therapy.心房和室性早搏的频率与双心室起搏比例与心脏再同步治疗患者预后的关系。
J Am Coll Cardiol. 2014 Sep 9;64(10):971-81. doi: 10.1016/j.jacc.2014.06.1177.
7
[Electrical storm in patients with implantable cardioverter-defibrillator].[植入式心脏复律除颤器患者的电风暴]
Kardiol Pol. 2013;71(2):198-201; discussion 202. doi: 10.5603/KP.2013.0017.
8
Coronary artery spasm as a cause of ST elevation and inappropriate implantable cardioverter defibrillator intervention.冠状动脉痉挛作为ST段抬高及不适当植入式心脏复律除颤器干预的原因
J Cardiovasc Med (Hagerstown). 2007 Dec;8(12):1055-7. doi: 10.2459/JCM.0b013e328058ed8c.
9
Potential proarrhythmic effects of implantable cardioverter-defibrillators.植入式心脏复律除颤器的潜在促心律失常作用。
Clin Cardiol. 1999 Feb;22(2):139-46. doi: 10.1002/clc.4960220220.
10
Prospective Randomized Evaluation of Implantable Cardioverter-Defibrillator Programming in Patients With a Left Ventricular Assist Device.前瞻性随机评估左心室辅助装置患者植入式心脏复律除颤器的程控。
J Am Heart Assoc. 2018 Feb 23;7(5):e007748. doi: 10.1161/JAHA.117.007748.
引用本文的文献
1
Ventricular fibrillation induced by atrial threshold search: a case report.心房阈值搜索诱发心室颤动：一例报告
Eur Heart J Case Rep. 2025 Mar 15;9(3):ytaf131. doi: 10.1093/ehjcr/ytaf131. eCollection 2025 Mar.
2
Right ventricular lead proarrhythmia: A novel intervention for an under-recognized phenomenon.右心室导联致心律失常：对一种未被充分认识现象的新干预措施。
HeartRhythm Case Rep. 2017 Dec 12;4(2):50-53. doi: 10.1016/j.hrcr.2017.10.009. eCollection 2018 Feb.
本文引用的文献
1
An uncommon cause of pacemaker-mediated ventricular tachycardia.起搏器介导的室性心动过速的一种罕见病因。
J Cardiovasc Electrophysiol. 2014 Jan;25(1):107-9. doi: 10.1111/jce.12255. Epub 2013 Sep 17.
Zotero 插件