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心室噪声和感知不足背景下的房室同步。

Atrioventricular synchrony in the background of ventricular noise and undersensing.

作者信息

Matusik Paweł T, Ząbek Andrzej, Matusik Patrycja S, Małecka Barbara, Lelakowski Jacek

机构信息

Department of Electrocardiology, The John Paul II Hospital, Kraków, Poland.

Jagiellonian University Medical College, Kraków, Poland.

出版信息

Ann Noninvasive Electrocardiol. 2017 Jul;22(4). doi: 10.1111/anec.12425. Epub 2017 Jan 3.

Abstract

The 24-hr electrocardiogram (ECG) interpretation in patients with double-chamber pacemakers may be challenging. The difficulty increases if not well-known pacemaker algorithm and device malfunction coexist. We show atrial synchronization pace (ASP) in a patient with ventricular lead damage. We provide detailed description of electrocardiogram and intracardiac electrogram. ASP may confuse 24-hr ECG monitoring interpretation, especially in patients with ventricular lead dysfunction.

摘要

双腔起搏器患者的24小时心电图(ECG)解读可能具有挑战性。如果不熟悉起搏器算法且同时存在设备故障,困难会增加。我们展示了一名心室导线受损患者的心房同步起搏(ASP)情况。我们提供了心电图和心内电图的详细描述。ASP可能会使24小时ECG监测解读产生混淆,尤其是在心室导线功能障碍的患者中。

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本文引用的文献

1
Pacing at rates slower than the lower rate limit: function or malfunction?
Pacing Clin Electrophysiol. 2015 Jan;38(1):149-50. doi: 10.1111/pace.12351. Epub 2014 Jan 31.
2
Pacemaker lead displacement: mechanisms and management.
Indian Pacing Electrophysiol J. 2003 Oct 1;3(4):231-8.

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