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QRS波群之后的起搏尖峰:机制是什么?

Pacing spikes following QRS complexes: What is the mechanism?

作者信息

Ząbek Andrzej, Małecka Barbara, Nowosielska-Ząbek Ewa, Dębski Maciej, Boczar Krzysztof, Lelakowski Jacek

机构信息

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

Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland.

出版信息

Ann Noninvasive Electrocardiol. 2019 Mar;24(2):e12545. doi: 10.1111/anec.12545. Epub 2018 Apr 25.

DOI:10.1111/anec.12545
PMID:29693306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6931702/
Abstract

The electrocardiogram (ECG) interpretation in patients with implantable cardioverter defibrillator (ICD) is often a puzzling problem. The difficulty of the device function evaluation further increases in the presence of unfamiliar timing cycles and additional functions. Authors present a special function of a Biotronik ICD devices called the thoracic impedance monitoring, and demonstrate its behavior in a patient with sinus rhythm, ventricular ectopic beats, and ventricular tachycardia episode. This report shows unexceptional occurrence of tricky ECG finding in patient with Biotronik ICD.

摘要

对于植入式心脏复律除颤器(ICD)患者的心电图(ECG)解读常常是一个令人困惑的问题。在存在不熟悉的计时周期和附加功能的情况下,评估该设备功能的难度进一步增加。作者介绍了百多力ICD设备的一种特殊功能——胸阻抗监测,并展示了其在一名窦性心律、室性早搏和室性心动过速发作患者中的表现。本报告显示,在使用百多力ICD的患者中,出现棘手的心电图表现并不罕见。

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引用本文的文献

1
Biotronik Implantable Cardioverter Defibrillator for Measurement of Intrathoracic Impedance: A Report of Two Cases.百多力植入式心脏复律除颤器测量胸腔内阻抗:两例报告。
Ann Noninvasive Electrocardiol. 2024 Nov;29(6):e70015. doi: 10.1111/anec.70015.

本文引用的文献

1
Unexceptional occurrence of tricky ECG findings in patients having new Biotronik ICDs.
Int J Cardiol. 2014 Sep;176(1):262-3. doi: 10.1016/j.ijcard.2014.06.053. Epub 2014 Jul 5.