心肌梗死后早期猝死的ICD一级预防  

ICD in primary prevention of sudden cardiac death early after myocardial infarction

作　　者：冯义柏[1] 黎明[1] 谢培益[2] 方红城[2] 王执兵[2] 陈少源[2] 

机构地区：[1]华中科技大学同济医学院协和医院心内科,武汉4300222 [2]华中科技大学同济医学院协和深圳医院心内科

出　　处：《临床心血管病杂志》2015年第11期1147-1149,共3页Journal of Clinical Cardiology

摘　　要：心肌梗死(MI)后早期是心脏性猝死(SCD)的高发时期,置入心律转复除颤器(ICD)对快速室性心律失常有确切的防治作用,但并不降低MI后早期的总死亡率。运用高敏感及高特异性的SCD危险分层方法,可筛选MI后早期SCD高危患者,使之最大获益。新的皮下置入式ICD及佩戴式心脏除颤器有望代替置入型ICD,用于MI后早期的患者,帮助其渡过SCD危险期。A significant number of sudden cardiac death（SCD）events occur in the early phase of myocardial infarction（MI）.Transvenous implantable cardioverter defibrillator（ICD）may be necessary in management of ventricular tachyarrhythmia and prevention of SCD.Nonetheless,early transvenous defibrillator implantation dose not improve progress and reduce the rate of total mortality in the early after MI.High sensitive and high specific risk stratification for SCD early after MI contribute to screen and benefit the patients at high risk.Subcutaneous cardioverter defibrillator and wearable cardioverter defibrillator should be considered as alternative to transvenous ICD,and may be more effective in prevention of SCD early after MI.

关 键 词：心肌梗死 猝死 皮下置入型心律转复除颤器 佩戴式心脏除颤器 一级预防 

分 类 号：R542.2[医药卫生—心血管疾病]