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不幸的手部位置导致不适当的除颤器电击：患者意识与职业危害之间有罪关联的另一种模式。

Unfortunate Hand Positioning Yielding Inappropriate Defibrillator Shock: Another Paradigm of a Guilty Association Between Patient Awareness and Occupational Hazard.

作者信息

Kossaify Antoine

机构信息

Cardiology Division, Arrhythmia Unit, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.

Cardiology Division, University Hospital Notre Dame des Secours, Byblos, Lebanon.

出版信息

Clin Med Insights Case Rep. 2019 Jul 1;12:1179547619861096. doi: 10.1177/1179547619861096. eCollection 2019.

DOI:10.1177/1179547619861096
PMID:31308784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6604116/
Abstract

A 64-year-old patient had a cardiac resynchronization therapy defibrillator implanted 4 years ago for dilated cardiomyopathy. He recently had an inappropriate shock as a result of an electrical leak from a refrigerator causing electromagnetic interference. An analysis of the patient case and a discussion of the features of this specific paradigm of inappropriate therapy are presented.

摘要

一名64岁的患者4年前因扩张型心肌病植入了心脏再同步治疗除颤器。他最近因冰箱漏电导致电磁干扰而受到不适当电击。本文对该病例进行了分析，并讨论了这种不适当治疗的具体模式的特点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6604116/065f8f35af36/10.1177_1179547619861096-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6604116/da564e233045/10.1177_1179547619861096-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6604116/065f8f35af36/10.1177_1179547619861096-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6604116/da564e233045/10.1177_1179547619861096-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b780/6604116/065f8f35af36/10.1177_1179547619861096-fig2.jpg

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本文引用的文献

1
Troubleshooting implanted cardioverter defibrillator sensing problems I.植入式心脏复律除颤器感知问题的故障排除 I
Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1237-61. doi: 10.1161/CIRCEP.114.002344.
2
Electromagnetic interference with implantable cardioverter defibrillators causing inadvertent shock: case report and review of current literature.电磁干扰致植入式心脏复律除颤器意外电击：病例报告及当前文献综述
Clin Med Insights Cardiol. 2014 Jul 24;8:63-6. doi: 10.4137/CMC.S10990. eCollection 2014.
3
Impact of programming strategies aimed at reducing nonessential implantable cardioverter defibrillator therapies on mortality: a systematic review and meta-analysis.
旨在减少不必要的植入式心脏复律除颤器治疗的编程策略对死亡率的影响：系统评价和荟萃分析。
Circ Arrhythm Electrophysiol. 2014 Feb;7(1):164-70. doi: 10.1161/CIRCEP.113.001217. Epub 2014 Jan 20.
4
Noise, artifact, and oversensing related inappropriate ICD shock evaluation: ALTITUDE noise study.噪声、伪迹及感知过度相关的不适当植入式心律转复除颤器电击评估：海拔高度噪声研究
Pacing Clin Electrophysiol. 2012 Jul;35(7):863-9. doi: 10.1111/j.1540-8159.2012.03407.x. Epub 2012 Apr 22.
5
Detection of refrigerator-associated 60 Hz alternating current as ventricular fibrillation by an implantable defibrillator.植入式除颤器将与冰箱相关的60赫兹交流电检测为心室颤动。
Europace. 2006 Mar;8(3):175-7. doi: 10.1093/europace/euj001. Epub 2006 Jan 5.
6
Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure.胺碘酮或植入式心脏复律除颤器用于治疗充血性心力衰竭。
N Engl J Med. 2005 Jan 20;352(3):225-37. doi: 10.1056/NEJMoa043399.
7
Prophylactic implantable cardioverter defibrillator trials: MUSTT, MADIT, and beyond. Multicenter Unsustained Tachycardia Trial. Multicenter Automatic Defibrillator Implantation Trial.预防性植入式心脏复律除颤器试验：MUSTT、MADIT及其他。多中心非持续性心动过速试验。多中心自动除颤器植入试验。
Am J Cardiol. 2000 Dec 1;86(11):1214-5, A5. doi: 10.1016/s0002-9149(00)01205-4.