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由于故障电气装置产生的电磁干扰,导致电击传递不当。

Inappropriate shock delivery as a result of electromagnetic interference originating from the faulty electrical installation.

机构信息

Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia.

School Of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Ann Noninvasive Electrocardiol. 2022 Sep;27(5):e12952. doi: 10.1111/anec.12952. Epub 2022 Apr 25.

Abstract

We present a case report of a 74-year-old male patient with an implantable cardioverter defibrillator who suffered an inappropriate defibrillation shock while bathing in the tub. Insight in the ICD stored electrogram episodes revealed electromagnetic interferences, with a typical 50 Hz electrical artifact mimicking fast ventricular tachycardia as a device misinterpreted. After this event, the maintenance workers investigated the electrical installation in the bathroom and revealed that there was voltage leaking between electrical installation and metal pipes. After the repair was completed without any additional programming, the patient has had no subsequent shocks.

摘要

我们报告了 1 例 74 岁男性患者的病例,该患者在浴缸中洗澡时,其植入式心脏复律除颤器发生了不适当的除颤电击。对 ICD 存储的电描记图事件进行分析,发现存在电磁干扰,典型的 50Hz 电伪影模拟快速室性心动过速,导致设备误判。此次事件发生后,维护人员检查了浴室的电气安装情况,发现电气安装和金属管道之间存在电压泄漏。在完成修复且未进行任何额外程控后,患者未再发生电击。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/760e/9484028/0bdd8a795125/ANEC-27-e12952-g002.jpg

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本文引用的文献

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Inappropriate ICD shock due to hot tub-induced external electrical interference.
J Electrocardiol. 2018 Sep-Oct;51(5):852-855. doi: 10.1016/j.jelectrocard.2018.06.016. Epub 2018 Jun 26.
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