死后支持生命 - 我们是否应该在死亡后分析可植入设备？系统评价。
Post mortem pro life - Should we analyse the implantable devices after death? A systematic review.
机构信息
3rd Chair and Department of Cardiology, SMDZ in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia, Katowice, Poland. Electronic address: https://twitter.com/maciejdyrbus.
3rd Chair and Department of Cardiology, SMDZ in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia, Katowice, Poland.
出版信息
Int J Cardiol. 2019 Apr 1;280:89-94. doi: 10.1016/j.ijcard.2019.01.024. Epub 2019 Jan 9.
AIM
Post-mortem interrogation of the cardiac implantable electronic devices (CIEDs) in combination with autopsy findings can provide additional information regarding device functioning after implantation or the mechanism of death. The aim of the study is to review the available data on the post-mortem interrogation of CIEDs and its possible clinical implications.
METHODS AND RESULTS
A systematic review of the published studies has been performed. Out of 762 unique citations 14 have been retained for final analysis. Post-mortem CIED interrogation reliably detects both serious device malfunctions and lead disorders but also improper device programming. As the need for CIED implantation is growing in the low-income countries, currently available data on battery longevity of devices explanted and destined for re-use have been reviewed.
CONCLUSIONS
Post-mortem CIED interrogation provides a unique opportunity to explore different mechanisms of death, often unavailable for distinction during regular in-hospital observation or in autopsy analysis.
目的
对心脏植入式电子设备（CIEDs）进行死后检查，并结合尸检结果，可提供有关植入后设备功能或死亡机制的其他信息。本研究旨在回顾 CIED 死后检查的现有数据及其可能的临床意义。
方法和结果
对已发表的研究进行了系统回顾。在 762 条独特的引文中有 14 条被保留进行最终分析。死后 CIED 检查可可靠地检测到严重的设备故障和导联异常，还可检测到设备编程不当。随着中低收入国家对 CIED 植入的需求不断增长，目前对需要进行再利用的已植入设备的电池寿命进行了审查。
结论
死后 CIED 检查为探索不同的死亡机制提供了独特的机会，这些机制在常规住院观察或尸检分析中通常无法区分。
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