Unique Tachycardia Recorded on a Cardiac Implantable Electronic Device: What is the Mechanism?

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-12-01 Epub Date: 2024-10-13 DOI:10.1111/pace.15088

Yuta Sudo

引用次数: 0

Abstract

In a 55-year-old man with nonischemic cardiomyopathy, a unique tachycardia was recorded on a dual-chamber implantable cardioverter defibrillator (St. Jude Medical [Abbott]) as an automatic mode switch episode. This case report discusses the mechanism of tachycardia, how it can be differentiated from similar rhythms, and its clinical implications. The report explores device limitations in managing such tachycardias and presents reprograming strategies to prevent recurrence. This case emphasizes the importance of careful analysis of device-mediated arrhythmias and appropriate programming.

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心脏植入式电子设备记录的独特心动过速：机制是什么？

一名 55 岁的非缺血性心肌病患者在使用双腔植入式心律转复除颤器（St. Jude Medical [Abbott]）时记录到了独特的心动过速，表现为自动模式切换发作。本病例报告讨论了心动过速的机制、如何将其与类似节律区分开来以及其临床意义。报告探讨了设备在处理此类心动过速时的局限性，并介绍了防止复发的重新编程策略。本病例强调了仔细分析设备介导的心律失常和适当编程的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.