Katheria Arpita, Raut Kamlesh, Sahu Ankit Kumar, Kapoor Aditya
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India.
Indian Pacing Electrophysiol J. 2025 Jan-Feb;25(1):43-46. doi: 10.1016/j.ipej.2024.11.001. Epub 2024 Nov 8.
Unexplained change in parameters, despite good lead positions or odd ECG patterns following implant should lead to suspicion of lead swap, amongst other possibilities. An easy way to confirm this is by paying careful attention to device EGMs and recording the ECG by switching off one channel, and pacing single channel (in either AAI or VVI mode).
尽管植入后导联位置良好或心电图模式异常,但参数出现无法解释的变化,除其他可能性外,应怀疑导联互换。确认这一点的一个简单方法是仔细关注设备的心内电图,并通过关闭一个通道并在单通道起搏(AAI或VVI模式)来记录心电图。