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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.

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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