Li Weiming, Xie Jialing, Peng Li, Wei Liang, Wang Shuangwei, Li Yongqin
Department of Biomedical Engineering and Imaging Medicine, Army Medical University, Chongqing 400038, P.R.China.
Shenzhen Dashen Institute of Biomedical Engineering Translation, Shenzhen, Guangdong 518060, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Dec 25;37(6):1095-1100. doi: 10.7507/1001-5515.202003013.
As an important medical electronic equipment for the cardioversion of malignant arrhythmia such as ventricular fibrillation and ventricular tachycardia, cardiac external defibrillators have been widely used in the clinics. However, the resuscitation success rate for these patients is still unsatisfied. In this paper, the recent advances of cardiac external defibrillation technologies is reviewed. The potential mechanism of defibrillation, the development of novel defibrillation waveform, the factors that may affect defibrillation outcome, the interaction between defibrillation waveform and ventricular fibrillation waveform, and the individualized patient-specific external defibrillation protocol are analyzed and summarized. We hope that this review can provide helpful reference for the optimization of external defibrillator design and the individualization of clinical application.
作为用于室颤和室性心动过速等恶性心律失常心脏复律的重要医学电子设备,体外心脏除颤器已在临床中广泛应用。然而,这些患者的复苏成功率仍不尽人意。本文综述了体外心脏除颤技术的最新进展。分析并总结了除颤的潜在机制、新型除颤波形的发展、可能影响除颤结果的因素、除颤波形与室颤波形之间的相互作用以及针对个体患者的体外除颤方案。我们希望这篇综述能够为体外除颤器设计的优化和临床应用的个体化提供有益参考。