Furman S
Pacing Clin Electrophysiol. 1984 May;7(3 Pt 2):602-5. doi: 10.1111/j.1540-8159.1984.tb04956.x.
Antitachycardia electrical stimulation involves significant problems of sensing the cardiac rhythm and determining whether a tachycardia exists. The simple algorithms developed for bradycardia pacing are inadequate for tachycardia pacing. Electrogram signal analysis and cardiac activation analysis with at least two leads will be required to make a device diagnosis of a tachycardia. Termination of a tachycardia reliably and consistently is difficult and has been accomplished reliably only by defibrillation. Further development of devices which are multimodal in termination capability is necessary. A registry for tachycardias and for tachycardia management is required to provide concentrated and analyzable data from a modality as yet infrequently used.
抗心动过速电刺激存在感知心律以及确定是否存在心动过速等重大问题。为心动过缓起搏开发的简单算法不足以用于心动过速起搏。需要进行心电图信号分析和至少两个导联的心脏激活分析,才能通过设备诊断心动过速。可靠且持续地终止心动过速很困难,目前只有通过除颤才能可靠地实现。有必要进一步开发具有多种终止能力的设备。需要建立一个心动过速及心动过速管理登记处,以提供来自一种使用尚不频繁的模式的集中且可分析的数据。