埋藏式心律转复除颤器应用17例临床分析  

The Clinical Analysis in 17 Implantable Cardioverter-Defibrillator Patients

作　　者：苗云波[1] 邓旭[1] 谢红[1] 孟洁[1] 叶琼枝[1] 周乐今[1] 

机构地区：[1]云南省第一人民医院心内科,昆明市650032

出　　处：《中国循环杂志》2008年第4期246-248,共3页Chinese Circulation Journal

摘　　要：目的:总结植入埋藏式心律转复除颤器(ICD)17例的经验。方法:选择2000-11至2006-10我院17例植入 ICD 病例,对术中、术后及随访等进行总结分析。结果:17例顺利植入 ICD,平均心室起搏阈值0.8 V,R 波高度7.6 mV,心房起搏阈值0.9 V,P 波高度2.7 mV,除颤阈值均小于20 J。4例患者共发作室性心动过速27次,4例发生心室颤动12次(其中合并室性心动过速17次)均经超速抑制(burst)及除颤终止,调整药物后明显减少。误放电2次均为快速心房颤动诱发,调整 ICD 设置后未再发生。结论:ICD 能及时有效控制室性心动过速、心室颤动从而预防心脏性猝死,联合药物综合治疗后效果更明显。Objective： To report the resuh of implantable cardioverter-defibrillator（ICD） therapy in 17 patients. Methods： A total of 17 patients with ICD implantation were included in the present study. Results ： All 17 patients were implanted ICD successfully. The pacing threshold of ventricle and atrium were 0. 8 ± V and 0. 9 ± V, respectively. The R wave amplitude was 7. 6 ± mV and the P wave amplitude was 2. 7 ± mV. The energy of 20J could defibrillate ventricular tachycardia and 12 times of ventricular fibrillation in 4 patients which were decreased after adjusted medications. In addition, two inappropriate detections and therapies were induced by atrial fibrillation with rapid ventricular rates, and reprogramming prevented this inappropriate events. Conclusions： ICD could successfully prevent sudden cardiac death by identifying and treating the malignant ventricular arrtlythmias and the efficacy could be approved by hybrid medication.

关 键 词：埋藏式心律转复除颤器 心脏性猝死 联合药物 

分 类 号：R541.7[医药卫生—心血管疾病]