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全身麻醉期间起搏器诱发的心动过速:一例报告

Pacemaker-induced tachycardia during general anaesthesia: a case report.

作者信息

Madsen G M, Andersen C

机构信息

Department of Anaesthesia, Odense University Hospital, Denmark.

出版信息

Br J Anaesth. 1989 Sep;63(3):360-1. doi: 10.1093/bja/63.3.360.

DOI:10.1093/bja/63.3.360
PMID:2803896
Abstract

Pacemakers with a rate-responsive function, based on calculation of ventilatory minute volume, may induce tachycardia in patients who undergo hyperventilation during general anaesthesia. If hyperventilation is desired, it is recommended that the pacemaker is reprogrammed in order to avoid tachycardia. If the programming device is not available, a magnet may be placed over the pacemaker site to convert it to fixed-rate pacing.

摘要

基于每分钟通气量计算的具有频率应答功能的起搏器,可能会在全身麻醉期间过度通气的患者中诱发心动过速。如果需要进行过度通气,建议对起搏器重新编程以避免心动过速。如果没有编程设备,可以在起搏器部位放置一块磁铁,将其转换为固定频率起搏。

相似文献

1
Pacemaker-induced tachycardia during general anaesthesia: a case report.全身麻醉期间起搏器诱发的心动过速:一例报告
Br J Anaesth. 1989 Sep;63(3):360-1. doi: 10.1093/bja/63.3.360.
2
Induction of ventricular tachycardia by pacemaker programming.通过起搏器程控诱发室性心动过速。
Pacing Clin Electrophysiol. 1982 Jul;5(4):587-92. doi: 10.1111/j.1540-8159.1982.tb02284.x.
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[Interaction of frequency-adaptive pacemakers and anesthetic management. Discussion of current literature and two case reports].[频率适应性起搏器与麻醉管理的相互作用。当前文献及两例病例报告的讨论]
Anaesthesist. 1996 Sep;45(9):856-60. doi: 10.1007/s001010050320.
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Another case of monitor-induced pacemaker-driven tachycardia: if in doubt, read the instructions.监测仪诱发起搏器介导性心动过速的又一病例:如有疑问,请阅读说明书。
Anaesth Intensive Care. 2006 Aug;34(4):517.
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Rate-responsive pacemakers and anaesthesia. A consideration of possible implications.频率适应性起搏器与麻醉。对可能影响的考量。
Anaesthesia. 1990 Jun;45(6):472-6. doi: 10.1111/j.1365-2044.1990.tb14339.x.
6
Pacemakers and intraoperative cardiac interactions: implications for surgeons.起搏器与术中心脏相互作用:对外科医生的启示
Bull Am Coll Surg. 2000 Mar;85(3):18-20.
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Upper limit ventricular stimulation in respiratory rate responsive pacing due to electrocautery.电灼导致的呼吸频率应答性起搏中的心室刺激上限
Pacing Clin Electrophysiol. 1989 Nov;12(11):1720-3. doi: 10.1111/j.1540-8159.1989.tb01855.x.
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Intraoperative pacemaker-mediated tachycardia: a complication of dual-chamber cardiac pacemakers.术中起搏器介导的心动过速:双腔心脏起搏器的一种并发症。
Anesthesiology. 1993 Feb;78(2):376-9. doi: 10.1097/00000542-199302000-00026.
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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.
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Pacemaker-driven tachycardia induced by electrocardiograph monitoring in the recovery room.
Anaesth Intensive Care. 2006 Apr;34(2):266-8. doi: 10.1177/0310057X0603400221.

引用本文的文献

1
[Perioperative management of patients with implanted pacemakers or cardioverter/defibrillators. Recommendations of the Austrian Society for Anaesthesiology, Resuscitation and Intensive Care Medicine, the Austrian Society for Cardiology and the Austrian Society for Surgery].[植入式起搏器或心脏复律除颤器患者的围手术期管理。奥地利麻醉学、复苏与重症医学学会、奥地利心脏病学会和奥地利外科学会的建议]
Anaesthesist. 2009 May;58(5):485-98. doi: 10.1007/s00101-009-1553-9.
2
The patient with a pacemaker or related device.患有起搏器或相关设备的患者。
Can J Anaesth. 1996 May;43(5 Pt 2):R24-41. doi: 10.1007/BF03011666.