生物起搏器在自动模式下的意外磁响应:一例报告。

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A&A Practice Pub Date : 2022-09-02 eCollection Date: 2022-09-01 DOI:10.1213/XAA.0000000000001617

Christabel Jaiyeola, Amy Y Chen, Philip L Kalarickal, Binoy Praful Bhatt

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引用次数: 0

摘要

在心血管植入式电子设备患者中，异步起搏对于有电磁干扰风险的手术是必要的。磁铁通常用于异步起搏。在本病例报告中，将磁铁应用于Biotronik Evia DR-T起搏器(Biotronik)，该起搏器被编程为一种称为自动磁铁模式(AUTO)的磁铁响应模式，导致短暂的异步起搏，然后恢复到先前的设置，这是一种意想不到的反应，在术前询问报告中没有透露。对于被编程为AUTO模式的Biotronik起搏器，需要改变编程来实现异步起搏。

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An Unexpected Magnet Response of a Biotronik Pacemaker in Automatic Mode: A Case Report.

In patients with cardiovascular implantable electronic devices, asynchronous pacing is necessary for surgeries with a risk of electromagnetic interference. Magnets are often used for asynchronous pacing. In this case report, magnet application to a Biotronik Evia DR-T pacemaker (Biotronik) programmed to a magnet response mode called automatic magnet mode (AUTO) led to a brief period of asynchronous pacing before reverting to prior settings, an unexpected response that was not revealed on the preoperative interrogation report. For Biotronik pacemakers programmed to the AUTO mode, changes in programming are needed for asynchronous pacing.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.