螺纹插入式无铅起搏器植入过程中出现症状性室上性心动过速的外部直流电击1例报告。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI:10.1111/pace.15134

Mattia Liccardo, Ersilia Cipolletta, Emma Arezzi, Monica Sicuranza, Maria Rea, Pietro Ricciardi, Giovanni Napolitano

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引用次数: 0

摘要

我们报告了一例64岁男性患者，在植入主动固定无铅起搏器（LP, Aveir VR, Abbott， USA）期间，由于症状性持续性室上性心动过速为160 bpm，接受了数次高达240焦耳的外部除颤电击。在低位室间隔旋紧装置之前和之后施加的冲击没有对装置造成任何技术损伤，也没有观察到并发症。然后设备被成功部署。据我们所知，这是第一例记录在案的主动固定LP患者的体外心肺复律（ECV）。结果表明，ECV治疗这些患者似乎是安全可行的。

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External DC Shocks of Symptomatic Supraventricular Tachycardia During Screw-In Leadless Pacemaker Implant: A Case Report.

We present the case of a 64-year-old man who, during the implantation of an active-fixation leadless pacemaker (LP, Aveir VR, Abbott, USA), underwent several external defibrillation shocks up to 240 Joules, due to symptomatic sustained supraventricular tachycardia at 160 bpm. The shocks, delivered both before and after the screwing of the device in the low interventricular septum, did not cause any technical damage to the device, and no complications were observed. The device was then deployed successfully. To our knowledge, this is the first documented case of external cardioversion (ECV) in a patient with an active-fixation LP. The results suggest that ECV in these patients appears to be safe and feasible.

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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.