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皮下植入式除颤器植入后空气滞留作为早期不适当电击的原因：病例系列

Air entrapment as a cause of early inappropriate shocks after subcutaneous defibrillator implant: A case series.

作者信息

Iavarone Michele, Ammendola Ernesto, Rago Anna, Russo Vincenzo

机构信息

Cardiology Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, Naples, Italy.

Cardiology Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, Naples, Italy.

出版信息

Indian Pacing Electrophysiol J. 2023 May-Jun;23(3):84-87. doi: 10.1016/j.ipej.2023.02.001. Epub 2023 Feb 4.

DOI:10.1016/j.ipej.2023.02.001
PMID:36746306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10160740/
Abstract

Inappropriate shock (IAS) is the most frequent device-related complication among patients with subcutaneous implantable cardioverter-defibrillator (S-ICD). Air entrapment (AE) has been described as an underdiagnosed cause of early postimplant IAS. We report 6 consecutive cases of early IAS after S-ICD implant, in whom the electrogram analysis (EGM) and/or chest radiography (CXR) were consistent with AE.

摘要

不适当电击（IAS）是皮下植入式心律转复除颤器（S-ICD）患者中最常见的与设备相关的并发症。空气栓塞（AE）已被描述为植入后早期IAS的一种诊断不足的原因。我们报告了6例连续的S-ICD植入后早期IAS病例，其心电图分析（EGM）和/或胸部X线摄影（CXR）结果与AE一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193a/10160740/7a6bb0632ad7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193a/10160740/7a6bb0632ad7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193a/10160740/7a6bb0632ad7/gr1.jpg

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本文引用的文献

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2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.2022年欧洲心脏病学会室性心律失常患者管理和心脏性猝死预防指南
Eur Heart J. 2022 Oct 21;43(40):3997-4126. doi: 10.1093/eurheartj/ehac262.
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Device-Related Complications and Inappropriate Therapies Among Subcutaneous vs. Transvenous Implantable Defibrillator Recipients: Insight Monaldi Rhythm Registry.皮下与经静脉植入式心脏除颤器接受者的器械相关并发症及不适当治疗：莫纳尔迪心律注册研究洞察
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Air entrapment as a potential cause of early subcutaneous implantable cardioverter defibrillator malfunction: a systematic review of the literature.
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Heart Rhythm. 2022 Oct;19(10):1751-1752. doi: 10.1016/j.hrthm.2022.05.012. Epub 2022 May 12.
5
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6
Subcutaneous or Transvenous Defibrillator Therapy.皮下或经静脉除颤器治疗。
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