Locati Emanuela T, Bagliani Giuseppe, Testoni Alessio, Lunati Maurizio, Padeletti Luigi
Electrophysiology Unit, Cardiovascular Department, Niguarda Hospital, Piazza Ospedale Maggiore, 3, Milano 20162, Italy.
Cardiology Department, Arrhythmia Unit, Foligno General Hospital, Via Massimo Arcamone, 06034 Foligno (PG), Italy.
Card Electrophysiol Clin. 2018 Jun;10(2):233-255. doi: 10.1016/j.ccep.2018.02.012.
Surface electrocardiograms, both resting 12-lead electrocardiographs and ambulatory electrocardiograph monitoring, play an essential role in establishing indications for cardiac implantable electronic devices (pacemakers, cardiac implantable defibrillators, and cardiac resynchronization therapies), and in the evaluation of patients already implanted. Current devices have prolonged memory capabilities (defined as Holter functions) and remote monitoring functions, to evaluate the electrical properties and the automatic detection of arrhythmias. Nonetheless, surface electrocardiography remains the critical tool to detect device malfunction, evaluate programming and function, verify the automatic arrhythmia analysis and the delivered electric therapy, and prevent inappropriate intervention.
体表心电图，包括静息12导联心电图和动态心电图监测，在确定心脏植入式电子设备（起搏器、植入式心脏除颤器和心脏再同步治疗）的适应症以及评估已植入患者方面发挥着重要作用。当前的设备具有延长的存储功能（定义为动态心电图功能）和远程监测功能，以评估电特性和自动检测心律失常。尽管如此，体表心电图仍然是检测设备故障、评估程控和功能、验证自动心律失常分析和所给予的电治疗以及防止不适当干预的关键工具。
