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一名患有头晕、心动过速且植入了DDDR起搏器的患者。

A patient with dizziness, tachycardia and a DDDR pacemaker.

作者信息

Balt J C, Dekker P, de Voogt W G

出版信息

Neth Heart J. 2006 Jan;14(1):28-30.

PMID:25696553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2557223/
Abstract

An 84-year-old female patient presented to the coronary care unit with dizziness. A DDD-R minute ventilation sensor pacemaker had been implanted eight years previously. The ECG showed an atrial and ventricular paced rhythm of 140 beats/min. After disconnecting the patient from the cardiac monitor the pacemaker rate dropped gradually to 90 beats/min. The cardiac rhythm monitoring system applies low-amplitude electrical pulses in order to measure respiration rate by transthoracic impedance (TTI) measurement. The minute ventilation pacemaker sensor is driven by the same TTI measurement for rate response. Inappropriate interference between these two systems caused a sensor-driven high pacemaker rate. The dizziness was not related to the sensor-driven high rate.

摘要

一名84岁女性患者因头晕入住冠心病监护病房。八年前植入了一台DDD-R分钟通气传感器起搏器。心电图显示心房和心室起搏心律,心率为140次/分钟。将患者与心脏监护仪断开连接后,起搏器频率逐渐降至90次/分钟。心脏节律监测系统施加低幅度电脉冲,以便通过经胸阻抗(TTI)测量来测量呼吸频率。分钟通气起搏器传感器由相同的TTI测量驱动以进行频率响应。这两个系统之间的不适当干扰导致了传感器驱动的高起搏器频率。头晕与传感器驱动的高频率无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c94/2557223/21fe27215341/Nheartj00145-0049-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c94/2557223/aab770b1603f/Nheartj00145-0049-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c94/2557223/21fe27215341/Nheartj00145-0049-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c94/2557223/aab770b1603f/Nheartj00145-0049-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c94/2557223/21fe27215341/Nheartj00145-0049-b.jpg

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本文引用的文献

1
Monitoring equipment induced tachycardia in patients with minute ventilation rate-responsive pacemakers.监测配备分钟通气率应答起搏器的患者的设备诱发的心动过速。
Br J Anaesth. 2000 Apr;84(4):508-9. doi: 10.1093/oxfordjournals.bja.a013480.
2
Supraventricular tachycardia induced by Datex patient monitoring system.Datex患者监测系统诱发的室上性心动过速。
Anesth Analg. 1998 Jun;86(6):1339. doi: 10.1097/00000539-199806000-00055.
3
Inappropriate rate change in minute ventilation rate responsive pacemakers due to interference by cardiac monitors.
心脏监护仪干扰导致分钟通气率反应性起搏器出现不适当的速率变化。
Pacing Clin Electrophysiol. 1997 Feb;20(2 Pt 1):276-82. doi: 10.1111/j.1540-8159.1997.tb06171.x.
4
Upper rate pacing after radiofrequency catheter ablation in a minute ventilation rate adaptive DDD pacemaker.分钟通气量适应性DDD起搏器射频导管消融术后的上限频率起搏
Pacing Clin Electrophysiol. 1994 Aug;17(8):1437-40. doi: 10.1111/j.1540-8159.1994.tb02464.x.
5
Rate responsive pacing using a minute ventilation sensor.使用分钟通气量传感器的频率应答式起搏
Pacing Clin Electrophysiol. 1988 Nov;11(11 Pt 2):1866-74. doi: 10.1111/j.1540-8159.1988.tb06322.x.