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乳房重建手术后植入式心脏除颤器抗心动过速治疗的意外禁用

Inadvertent Disabling of Implantable Cardiac Defibrillator Antitachycardia Therapies Following Breast Reconstructive Surgery.

作者信息

Skaff Paulina R, Phillips Bridget S, Lobban John H, Bianco Christopher M

机构信息

West Virginia University, Department of Cardiovascular Medicine, Heart and Vascular Institute, Morgantown, West Virginia.

出版信息

JACC Case Rep. 2020 Sep;2(11):1753-1756. doi: 10.1016/j.jaccas.2020.07.018. Epub 2020 Sep 15.

DOI:10.1016/j.jaccas.2020.07.018
PMID:33681823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7932125/
Abstract

A 47-year-old woman with an implantable cardiac defibrillator and breast cancer underwent left breast mastectomy with simultaneous reconstruction using a breast tissue expander. She was found to have intermittent disabling of tachyarrhythmia detection and therapy functions of her implantable cardiac defibrillator that were triggered by the breast tissue expander magnetic port.

摘要

一名患有植入式心脏除颤器和乳腺癌的47岁女性接受了左乳乳房切除术，并同时使用乳房组织扩张器进行了乳房重建。结果发现，她的植入式心脏除颤器的心动过速检测和治疗功能会间歇性失效，这是由乳房组织扩张器的磁性端口触发的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/74f2101774ba/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/5071d8981735/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/b64ee40d90e4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/74f2101774ba/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/5071d8981735/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/b64ee40d90e4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/8312134/74f2101774ba/gr2.jpg

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本文引用的文献

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Linking Heart Failure to Cancer: Background Evidence and Research Perspectives.将心力衰竭与癌症联系起来：背景证据和研究视角。
Circulation. 2018 Aug 14;138(7):735-742. doi: 10.1161/CIRCULATIONAHA.118.033603.
2
Breast tissue expanders and implantable cardioverter-defibrillator: An unusual interaction.乳房组织扩张器与植入式心脏复律除颤器：一种不寻常的相互作用。
HeartRhythm Case Rep. 2015 Jun 12;1(4):167-168. doi: 10.1016/j.hrcr.2015.01.005. eCollection 2015 Jul.
3
Gender, Racial, and Health Insurance Differences in the Trend of Implantable Cardioverter-Defibrillator (ICD) Utilization: A United States Experience Over the Last Decade.
植入式心脏复律除颤器（ICD）使用趋势中的性别、种族和健康保险差异：美国过去十年的经验
Clin Cardiol. 2016 Feb;39(2):63-71. doi: 10.1002/clc.22496. Epub 2016 Jan 22.
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Magnetic ports in tissue expanders--a caution for MRI.
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