Manninger Martin, Odeneg Tanja, Fruhwald Friedrich, Brussee Helmut, Scherr Daniel
Division of Cardiology, Department of Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Wien Klin Wochenschr. 2017 Dec;129(23-24):910-912. doi: 10.1007/s00508-017-1290-z. Epub 2017 Nov 9.
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.
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。