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双极心室刺激期间可穿戴式心脏复律除颤器的过感知

Oversensing of the wearable cardioverter defibrillator during bipolar ventricular stimulation.

作者信息

Manninger Martin, Odeneg Tanja, Fruhwald Friedrich, Brussee Helmut, Scherr Daniel

机构信息

Division of Cardiology, Department of Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.

出版信息

Wien Klin Wochenschr. 2017 Dec;129(23-24):910-912. doi: 10.1007/s00508-017-1290-z. Epub 2017 Nov 9.

DOI:10.1007/s00508-017-1290-z
PMID:29124430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5711981/
Abstract

The wearable cardioverter defibrillator (WCD) is a temporary treatment option for patients with potentially reversible risk of sudden cardiac death. This case demonstrates a pitfall during WCD usage in a pacemaker-dependent patient as well as a possible solution allowing continuation of WCD therapy. Bipolar stimulation may lead to double counting of the WCD detection algorithm resulting in false alarm or inappropriate therapy.

摘要

可穿戴式心脏复律除颤器（WCD）是具有潜在可逆性心脏性猝死风险患者的一种临时治疗选择。本病例展示了在起搏器依赖患者使用WCD过程中出现的一个陷阱以及一种可使WCD治疗得以继续的可能解决方案。双极刺激可能导致WCD检测算法重复计数，从而产生误报警或不适当的治疗。

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引用本文的文献

1
Multiparameter Monitoring with a Wearable Cardioverter Defibrillator.可穿戴式除颤器的多参数监测。
Sensors (Basel). 2021 Dec 21;22(1):22. doi: 10.3390/s22010022.

本文引用的文献

1
2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC).2015年欧洲心脏病学会（ESC）室性心律失常患者管理和心脏性猝死预防指南：欧洲心脏病学会（ESC）室性心律失常患者管理和心脏性猝死预防特别工作组。认可机构：欧洲儿科和先天性心脏病协会（AEPC）。
Eur Heart J. 2015 Nov 1;36(41):2793-2867. doi: 10.1093/eurheartj/ehv316. Epub 2015 Aug 29.
2
Use of the wearable cardioverter defibrillator in high-risk cardiac patients: data from the Prospective Registry of Patients Using the Wearable Cardioverter Defibrillator (WEARIT-II Registry).可穿戴式心脏除颤器在高危心脏患者中的应用：来自前瞻性可穿戴式心脏除颤器（WEARIT-II 注册研究）患者使用登记数据库的数据。
Circulation. 2015 Oct 27;132(17):1613-9. doi: 10.1161/CIRCULATIONAHA.115.015677. Epub 2015 Aug 27.
3
A fatal device-device interaction between a wearable automated defibrillator and a unipolar ventricular pacemaker.可穿戴式自动除颤器与单极心室起搏器之间的致命设备-设备相互作用。
Pacing Clin Electrophysiol. 2008 Jul;31(7):912-5. doi: 10.1111/j.1540-8159.2008.01110.x.