Sciarra Luigi, Nesti Martina, Palamà Zefferino, Marazzato Jacopo, Bagliani Giuseppe, Leonelli Fabio M, De Ponti Roberto
Cardiology Unit, Policlinico Casilino, Via Casilina 1049, Rome 00169, Italy.
Cardiovascular and Neurological Department, Ospedale San Donato, Via Nenni, 20/22, Arezzo 52100, Italy.
Card Electrophysiol Clin. 2019 Jun;11(2):363-373. doi: 10.1016/j.ccep.2019.02.005. Epub 2019 Apr 4.
Pacemakers, cardioverter/defibrillators, and implantable loop recorders with their continuously improved diagnostic capabilities offer detailed information that can help interpreting a cardiac arrhythmia in implanted patients. Nevertheless, in some cases, analysis of the electrical signals stored in the device memory may not be easy. An accurate knowledge of the company-specific software and the meaning of the different markers used are necessary to correctly interpret the arrhythmia or diagnose an inappropriate device intervention due to under- or oversensing. This new technology does not replace the "old" surface electrocardiogram but supplements it to improve arrhythmia diagnosis.
起搏器、心脏复律除颤器以及具有不断提升的诊断能力的植入式循环记录仪,能提供有助于解读植入患者心律失常情况的详细信息。然而,在某些情况下,分析存储在设备存储器中的电信号可能并非易事。要正确解读心律失常或诊断因感知不足或过度感知导致的不适当设备干预,就必须准确了解特定公司的软件以及所使用的不同标记的含义。这项新技术并非取代“传统”的体表心电图,而是对其进行补充以改善心律失常的诊断。