皮下植入式除颤器测试期间室颤感知失败：一种棘手的情况。
Failure of Ventricular Fibrillation Sensing During Subcutaneous Implantable Defibrillator Testing: A Twitchy Situation.
作者信息
Saad Mussa, Ranganathan Deepti, Singh Sheldon M
机构信息
Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
出版信息
J Innov Card Rhythm Manag. 2024 Nov 15;15(11):6085-6087. doi: 10.19102/icrm.2024.15112. eCollection 2024 Nov.
Abstract
Oversensing of extra-cardiac noise may inhibit delivery of subcutaneous cardiac implantable defibrillator (S-ICD) therapy. We report a case of diaphragmatic tetany resulting in the inhibition of S-ICD therapy at the time of defibrillator testing without the use of muscle relaxants. Clinicians should be aware of this phenomenon.
摘要
心外噪声过度感知可能会抑制皮下植入式心脏除颤器（S-ICD）的治疗。我们报告了一例膈肌抽搐导致在除颤器测试时未使用肌肉松弛剂的情况下S-ICD治疗受到抑制的病例。临床医生应注意这种现象。
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本文引用的文献
1
Noise caused by involuntary muscle response may inhibit detection of ventricular fibrillation during defibrillation testing.除颤测试期间，非自主肌肉反应引起的噪音可能会抑制心室颤动的检测。
HeartRhythm Case Rep. 2019 Dec 11;6(3):126-130. doi: 10.1016/j.hrcr.2019.11.004. eCollection 2020 Mar.
2
2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing.2015年心律学会（HRS）/欧洲心律协会（EHRA）/亚太心律学会（APHRS）/拉丁美洲心律学会（SOLAECE）关于植入式心脏复律除颤器最佳程控与测试的专家共识声明
Europace. 2016 Feb;18(2):159-83. doi: 10.1093/europace/euv411. Epub 2015 Nov 19.
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