Arcinas Liane A, Sheldon Robert S
Section of Cardiology, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Intern Emerg Med. 2023 Apr;18(3):851-862. doi: 10.1007/s11739-023-03227-6. Epub 2023 Mar 9.
With the aging population, improving technology, and expanding indications for diagnosing and treating arrhythmias and heart failure, many patients are receiving cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter defibrillators. Consequently, patients with CIEDs are frequently encountered in the emergency department and in the wards. It is imperative that emergency physicians and internists have a strong foundation on CIEDs and their potential complications. This review aims to help physicians develop a framework in approaching CIEDs and to recognize and manage clinical scenarios that may arise from CIED complications.
随着人口老龄化、技术进步以及心律失常和心力衰竭诊断与治疗适应证的不断扩大,许多患者正在接受心脏植入式电子设备(CIED),如起搏器和植入式心律转复除颤器。因此,急诊科和病房中经常会遇到植入CIED的患者。急诊医生和内科医生必须对CIED及其潜在并发症有坚实的基础。本综述旨在帮助医生建立一个处理CIED的框架,并识别和管理可能由CIED并发症引发的临床情况。