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双腔植入式心脏复律除颤器及导线功能障碍患者运动期间的医源性心悸

Iatrogenic Palpitations during Exercise in a Patient with a Dual Chamber Implantable Cardioverter-Defibrillator and Lead Dysfunction.

作者信息

Hasegawa Kanae, Miyazaki Shinsuke, Kaseno Kenichi, Tada Hiroshi

机构信息

Department of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui.

出版信息

Int Heart J. 2019 Mar 20;60(2):462-465. doi: 10.1536/ihj.18-248. Epub 2019 Jan 10.

DOI:10.1536/ihj.18-248
PMID:30626767
Abstract

Implantable cardioverter-defibrillators (ICDs) are an effective treatment to prevent sudden cardiac death; however, lead dysfunction is an important complication during the long-term follow-up period in ICD recipients. Careful device programming is required in accordance with the individual situation in patients with lead dysfunction. We herein present a patient in whom programming to AAI triggered palpitations during exercise.

摘要

植入式心脏复律除颤器（ICD）是预防心源性猝死的有效治疗手段；然而，导线功能障碍是ICD植入患者长期随访期间的一项重要并发症。对于存在导线功能障碍的患者，需要根据个体情况进行仔细的设备程控。我们在此报告一例患者，其程控为AAI模式后在运动时出现心悸。

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