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引发心房颤动的植入式自动除颤器的疗效

Efficacy of an implanted automatic defibrillator which had induced atrial fibrillation.

作者信息

Jordaens L, Hamerlynck R, Clement D L

出版信息

Br Heart J. 1985 Dec;54(6):605-8. doi: 10.1136/hrt.54.6.605.

Abstract

A 54 year old man with refractory life threatening ventricular tachycardia was given an automatic defibrillator. The initial system was a transvenous defibrillator coil electrode and this was later modified by implantation of two patch electrodes at thoracotomy. The modified system successfully controlled ventricular tachycardia. On one occasion reversion of ventricular tachycardia by the defibrillator precipitated atrial fibrillation, a previously unreported side effect.

摘要

一名54岁患有顽固性危及生命的室性心动过速的男子植入了自动除颤器。最初的系统是经静脉除颤器线圈电极,后来通过开胸植入两个贴片电极进行了改良。改良后的系统成功控制了室性心动过速。有一次,除颤器使室性心动过速转复后引发了心房颤动,这是一种此前未报告过的副作用。

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本文引用的文献

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Electrophysiologic and hemodynamic studies in patients resuscitated from cardiac arrest.
Am J Cardiol. 1980 Dec 1;46(6):948-55. doi: 10.1016/0002-9149(80)90350-1.
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Implantation of the automatic defibrillator: the subxiphoid approach.自动除颤器植入术:剑突下途径
Ann Thorac Surg. 1982 Nov;34(5):515-20. doi: 10.1016/s0003-4975(10)62996-7.
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Mortality in patients with implanted automatic defibrillators.植入式自动除颤器患者的死亡率。
Ann Intern Med. 1983 May;98(5 Pt 1):585-8. doi: 10.7326/0003-4819-98-5-585.
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Amiodarone-induced refractoriness to cardioversion.胺碘酮引起的复律难治性。
Ann Intern Med. 1984 May;100(5):699-700. doi: 10.7326/0003-4819-100-5-699.
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Clinical performance of the implantable cardioverter-defibrillator.植入式心脏复律除颤器的临床性能
Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 2):1345-50. doi: 10.1111/j.1540-8159.1984.tb05706.x.

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