Stack J M, Houston C, Mirowski M, Mower M, Watkins L, Reid P R
Heart Lung. 1982 Nov-Dec;11(6):512-5.
Clinically, the first line of treatment for patients experiencing potentially lethal arrhythmias includes antiarrhythmic medications and/or treatment of underlying causes such as ischemia or congestive heart failure. However, if the treatment is not successful in controlling the arrhythmia, the automatic implantable defibrillator is a viable alternative for the prevention of sudden death in these patients. The case report presents one example of how the automatic implantable defibrillator can supplement conventional medical therapy when success in suppressing recurrent arrhythmias cannot be obtained. This concept has been demonstrated in this 59-year-old woman who underwent several medication trials in an attempt to control her life-threatening arrhythmias.
临床上，对于出现潜在致命性心律失常的患者，一线治疗包括抗心律失常药物和/或治疗潜在病因，如缺血或充血性心力衰竭。然而，如果治疗未能成功控制心律失常，自动植入式除颤器是预防这些患者猝死的可行选择。该病例报告展示了一个例子，说明当无法成功抑制复发性心律失常时，自动植入式除颤器如何补充传统药物治疗。这一概念在这位59岁的女性患者身上得到了体现，她接受了几次药物试验，试图控制危及生命的心律失常。
