Ruffy R, Smith P, Laseter M, Lal R, Kim S S
J Am Coll Cardiol. 1985 Aug;6(2):482-5. doi: 10.1016/s0735-1097(85)80190-x.
A 42 year old man who survived sudden cardiac death was treated with an automatic implantable cardioverter/defibrillator. After a 5 month symptom-free interval, the patient received two internal discharges in the conscious state while wearing an ambulatory electrocardiographic recorder. Analysis of the tape revealed that both discharges were activated by two bursts of polymorphous ventricular tachycardia, the first one occurring at the end and the second at the onset of episodes of slow, hemodynamically stable monomorphous ventricular tachycardia. This case illustrates the reliability of the automatic implantable cardioverter/defibrillator as an antiventricular tachycardia device and the problem posed by its exposure to nonsustained ventricular tachycardia.
一名心脏骤停后存活的42岁男性接受了植入式自动心脏复律除颤器治疗。在5个月无症状期后，患者在佩戴动态心电图记录仪时于清醒状态下接受了两次体内电击。对磁带的分析显示，两次电击均由两阵多形性室性心动过速触发，第一次发生在缓慢、血流动力学稳定的单形性室性心动过速发作末期，第二次发生在发作开始时。该病例说明了植入式自动心脏复律除颤器作为抗室性心动过速装置的可靠性及其暴露于非持续性室性心动过速所带来的问题。
