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小儿及先天性心脏病患者不适当的植入式心律转复除颤器电击

Inappropriate ICD Shocks in Pediatric and Congenital Heart Disease Patients.

作者信息

Garnreiter Jason M

机构信息

Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.

出版信息

J Innov Card Rhythm Manag. 2017 Nov 15;8(11):2898-2906. doi: 10.19102/icrm.2017.081104. eCollection 2017 Nov.

DOI:10.19102/icrm.2017.081104
PMID:32494433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252892/
Abstract

Although implantable cardioverter-defibrillators (ICDs) have proven to be life-saving devices, there are frequent complications associated with their use, especially in the pediatric and congenital heart disease populations. Inappropriate shocks are a particularly frequent complication in these groups. This review discusses the causes and implications of inappropriate ICD shocks, and presents potential interventions that may assist in safely reducing the rates of inappropriate shocks in pediatric and congenital heart disease patients with ICDs.

摘要

尽管植入式心脏复律除颤器（ICD）已被证明是挽救生命的设备，但在其使用过程中仍频繁出现并发症，尤其是在儿科和先天性心脏病患者群体中。不适当电击是这些群体中特别常见的并发症。本综述讨论了不适当ICD电击的原因及影响，并提出了可能有助于安全降低患有ICD的儿科和先天性心脏病患者不适当电击发生率的潜在干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2913/7252892/0de0704d54b4/icrm-08-2898-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2913/7252892/3bc802248442/icrm-08-2898-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2913/7252892/0de0704d54b4/icrm-08-2898-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2913/7252892/3bc802248442/icrm-08-2898-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2913/7252892/0de0704d54b4/icrm-08-2898-g002.jpg

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Heart Rhythm. 2017 Feb;14(2):211-217. doi: 10.1016/j.hrthm.2016.10.024. Epub 2016 Oct 28.
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Sex Differences in Inappropriate ICD Device Therapies: MADIT-II and MADIT-CRT.不适当的植入式心律转复除颤器（ICD）设备治疗中的性别差异：MADIT-II和MADIT-CRT研究
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Midterm Results of Implantable Cardioverter Defibrillators in Children and Young Adults from a Single Center in Turkey.
南非一家三级医院接受植入式心脏复律除颤器治疗的年轻患者的临床特征及预后：对二十年植入式心脏复律除颤器植入及随访情况的回顾
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土耳其单中心儿童和青年植入式心脏复律除颤器的中期结果
Pacing Clin Electrophysiol. 2016 Nov;39(11):1225-1239. doi: 10.1111/pace.12954. Epub 2016 Oct 28.
4
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Arrhythm Electrophysiol Rev. 2016 Aug;5(2):110-6. doi: 10.15420/AER.2016.12.2.
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Different impact of long-detection interval and anti-tachycardia pacing in reducing unnecessary shocks: data from the ADVANCE III trial.长检测间期与抗心动过速起搏在减少不必要电击方面的不同影响：来自ADVANCE III试验的数据。
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