如何在起搏器和除颤器中识别无症状性心房颤动——心房电图的价值。
How to recognize silent atrial fibrillation in pacemakers and defibrillators-the value of atrial electrograms.
作者信息
Benezet-Mazuecos Juan, Rubio Jose Manuel, Iglesias José Antonio, de la Vieja Juan José
机构信息
Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz-Quironsalud, Universidad Autónoma de Madrid, Madrid, Spain.
出版信息
J Thorac Dis. 2018 Mar;10(3):2048-2051. doi: 10.21037/jtd.2018.03.38.
Today's pacemakers and defibrillators include diagnostic tools for detecting and treating cardiac arrhythmias like silent atrial fibrillation as atrial high rate episodes (AHREs). This diagnostic capability is crucial to prevent the potential embolic complications this AHREs are related to. However, sometimes data retrieved from diagnostic counters may be misleading reflecting limitations of detection algorithms, which must follow mathematical rules to classify events on a beat-to-beat basis. The incorporation of stored electrograms has been an important milestone in improving the diagnostic capabilities of these devices confirming the arrhythmia diagnosis.
如今的起搏器和除颤器具备诊断工具，可检测和治疗诸如无症状性心房颤动等心律失常，将其作为心房高率事件（AHREs）。这种诊断能力对于预防与这些AHREs相关的潜在栓塞并发症至关重要。然而，有时从诊断计数器获取的数据可能会产生误导，这反映了检测算法的局限性，这些算法必须遵循数学规则逐搏对事件进行分类。存储心电图的纳入是提高这些设备诊断能力、确认心律失常诊断的一个重要里程碑。
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