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无意中将永久性心室导联误置于心中静脉，误诊为导联穿孔。

Inadvertent malposition of a permanent ventricular lead into the middle cardiac vein was misdiagnosed as lead perforation.

机构信息

Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, China.

出版信息

Ann Noninvasive Electrocardiol. 2022 Jul;27(4):e12949. doi: 10.1111/anec.12949. Epub 2022 Apr 23.

DOI:10.1111/anec.12949
PMID:35460160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9296805/
Abstract

A 54-year-old man had a dual-chamber pacemaker implantation 9 years ago because of sick sinus syndrome at a different facility. The patient did not undergo any evaluation of his pacemaker for a long time with cardiologist. The patient was admitted to another hospital manifesting dyspnea and palpitation with atrial fibrillation for 1 month, and he was diagnosed with ventricular lead perforation. For further treatment, he was referred to our hospital, and an elective replacement indicator (ERI) of the battery state and a malpositioned ventricular lead into the middle cardiac vein were found. Finally, the pacing lead was left in the primary place and the pacemaker was replaced.

摘要

一位 54 岁男性 9 年前因病态窦房结综合征在另一家医院植入了双腔起搏器。此后很长一段时间，患者都没有与心脏病专家一起对其起搏器进行任何评估。患者因 1 个月来出现呼吸困难和心悸伴心房颤动而被收入另一家医院，被诊断为心室导联穿孔。为了进一步治疗，他被转至我院，发现电池状态的选择性更换指标（ERI）和心室导联错位到心静脉中部。最终，起搏导联被留在原处，更换了起搏器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/42ad85adb6c1/ANEC-27-e12949-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/682465a77b21/ANEC-27-e12949-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/c7a422dd50a6/ANEC-27-e12949-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/e2f8de33971d/ANEC-27-e12949-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/42ad85adb6c1/ANEC-27-e12949-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/682465a77b21/ANEC-27-e12949-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/c7a422dd50a6/ANEC-27-e12949-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/e2f8de33971d/ANEC-27-e12949-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0564/9296805/42ad85adb6c1/ANEC-27-e12949-g002.jpg

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