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左心室辅助装置患者的室性心律失常——当前的诊断和治疗考虑因素。

Ventricular Arrhythmias in Left Ventricular Assist Device Patients-Current Diagnostic and Therapeutic Considerations.

机构信息

Department of Cardiac Surgery and Transplantology, National Institute of Cardiology, 42 Alpejska Street, 04-628 Warsaw, Poland.

1st Department of Arrhythmia, National Institute of Cardiology, 42 Alpejska Street, 04-628 Warsaw, Poland.

出版信息

Sensors (Basel). 2024 Feb 8;24(4):1124. doi: 10.3390/s24041124.

DOI:10.3390/s24041124
PMID:38400282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10893394/
Abstract

Left ventricular assist devices (LVAD) are used in the treatment of advanced left ventricular heart failure. LVAD can serve as a bridge to orthotopic heart transplantation or as a destination therapy in cases where orthotopic heart transplantation is contraindicated. Ventricular arrhythmias are frequently observed in patients with LVAD. This problem is further compounded as a result of diagnostic difficulties arising from presently available electrocardiographic methods. Due to artifacts from LVAD-generated electromagnetic fields, it can be challenging to assess the origin of arrhythmias in standard ECG tracings. In this article, we will review and discuss common mechanisms, diagnostics methods, and therapeutic strategies for ventricular arrhythmia treatment, as well as numerous problems we face in LVAD implant patients.

摘要

左心室辅助装置（LVAD）用于治疗晚期左心室心力衰竭。LVAD 可以作为同种异体心脏移植的桥梁，或者在同种异体心脏移植禁忌的情况下作为终末期治疗。LVAD 患者常出现室性心律失常。目前可用的心电图方法导致诊断困难，进一步加剧了这一问题。由于 LVAD 产生的电磁场的干扰，在标准心电图描记中评估心律失常的起源可能具有挑战性。在本文中，我们将回顾和讨论室性心律失常治疗的常见机制、诊断方法和治疗策略，以及我们在 LVAD 植入患者中面临的许多问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa3a/10893394/1f3dc72122d4/sensors-24-01124-g010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa3a/10893394/b3e9e1587e5b/sensors-24-01124-g008.jpg
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Ann Noninvasive Electrocardiol. 2023 Sep;28(5):e13073. doi: 10.1111/anec.13073. Epub 2023 Jul 28.
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