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双腔起搏器植入术后意外的较高频率心房起搏——潜在机制是什么？

Inadvertent higher rate atrial pacing after dual chamber pacemaker implantation - What is the underlying mechanism?

作者信息

Katheria Arpita, Raut Kamlesh, Sahu Ankit Kumar, Kapoor Aditya

机构信息

Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India.

出版信息

Indian Pacing Electrophysiol J. 2025 Jan-Feb;25(1):43-46. doi: 10.1016/j.ipej.2024.11.001. Epub 2024 Nov 8.

DOI:10.1016/j.ipej.2024.11.001
PMID:39521247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11962310/
Abstract

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).

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/ea2846450e2c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/6c11ce3b988c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/792a65856519/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/026b8f81bebc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/ea2846450e2c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/6c11ce3b988c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/792a65856519/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/026b8f81bebc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/11962310/ea2846450e2c/gr4.jpg

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本文引用的文献

1
Pacemaker malfunction due to atrial and ventricular leads switched in the header: two faces of the same mistake?
Pacing Clin Electrophysiol. 2008 Jun;31(6):733-5. doi: 10.1111/j.1540-8159.2008.01078.x.
2
Unusual atrial-paced tachycardia after pacemaker implantation: what is the mechanism?
Heart Rhythm. 2007 Jun;4(6):800-2. doi: 10.1016/j.hrthm.2007.02.003. Epub 2007 Feb 9.
3
Nobody is perfect--a pacemaker dysfunction.人无完人——起搏器功能障碍。
Int J Cardiol. 2004 Feb;93(2-3):297-8. doi: 10.1016/S0167-5273(03)00155-4.