起搏器电池耗竭导致的不良临床事件：两例报告。
Adverse clinical events caused by pacemaker battery depletion: two case reports.
机构信息
Department of Cardiology, Peking University Fifth School of Clinical Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No.1 Da Hua Road, Dong Dan, Beijing, 100730, P.R. China.
Department of Emergency Medicine, Peking University Fifth School of Clinical Medcine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No.1 Da Hua Road, Dong Dan, Beijing, 100730, P.R. China.
出版信息
BMC Cardiovasc Disord. 2020 Jul 23;20(1):344. doi: 10.1186/s12872-020-01622-x.
BACKGROUND
The clinical symptoms and adverse events caused by pacemaker battery depletion are not uncommon, but it is easy to miss or misdiagnose them clinically. To raise the level of awareness towards this clinical situation, we report two cases.
CASE PRESENTATION
We described two cases of pacemaker battery depletion. Case 1 was an 83-year-old male manifesting chest pain and dyspnea. Automatic reprogramming after pacemaker battery depletion resulted in pacemaker syndrome. While case 2 was an 80-year-old female with complete atrioventricular heart block and torsade de pointes, due to complete depletion of pacemaker battery. In addition, we introduce a method that can easily identify the depletion of the pacemaker battery, which has clinical promotion value of a certain degree.
CONCLUSIONS
Those cases emphasize that serious morbidity can arise from pacemaker battery depletion, even in the early stages. Therefore, early detection and diagnosis is especially important.
背景
起搏器电池耗竭引起的临床症状和不良事件并不少见，但临床上容易漏诊或误诊。为了提高对这种临床情况的认识，我们报告两例病例。
病例介绍
我们描述了两例起搏器电池耗竭的病例。病例 1 为 83 岁男性，表现为胸痛和呼吸困难。起搏器电池耗竭后的自动重新编程导致起搏器综合征。而病例 2 为 80 岁女性，表现为完全性房室传导阻滞和尖端扭转型室性心动过速，由于起搏器电池完全耗尽。此外，我们还介绍了一种可以很容易识别起搏器电池耗竭的方法，具有一定的临床推广价值。
结论
这些病例强调，即使在早期，起搏器电池耗竭也可能导致严重的发病率。因此，早期检测和诊断尤为重要。
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