紧急情况下使用磁铁暂时抑制不适当的皮下植入式心律转复除颤器治疗的安全性和有效性:一个病例报告

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
M. Santomauro, C. Riganti, M. Santomauro, A. Viggiano, G. Castellano, G. Iovino, A. Rapacciuolo, Francesco Fiore, F. Cacciatore, G. Esposito
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引用次数: 0

摘要

摘要简介:皮下植入式心律转复除颤器(S-ICD)代表了ICD技术的重大进步。每年超过3.1%的S-ICD患者发生不适当电击(IAS),通常随后被送入急诊室(ED)。在此设置中,在伪电风暴(ES)期间强制禁用IAS。本报告描述了在重症监护环境中使用磁铁暂时抑制IAS可遵循的策略。病例介绍:一名68岁肥厚性心肌病患者在就诊前6周植入S-ICD。在急诊科,患者在最后一小时内经历了3次IAS。由于没有特定的程序,使用了美敦力磁铁来阻止IAS。这一动作打断了IAS。为了验证S-ICD的通用磁响应,测试了六种不同的磁铁和一款采用MagSafe技术的智能手机。所有磁铁型号都暂停了心律失常检测和IAS,而智能手机则不会产生磁铁干扰。结论:本报告证明了所有临床磁铁模型在抑制IAS方面的安全性和有效性。在伪es的情况下,任何类型的磁铁都允许ED提供商在适当的时候轻松快速地禁用设备的功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety and Efficacy of Magnet Use to Temporarily Inhibit Inappropriate Subcutaneous Implantable Cardioverter Defibrillator Therapy in Emergency Situations: A Case Report
Abstract Introduction: The subcutaneous implantable cardioverter defibrillator (S-ICD) represents a major advancement in ICD technology. Inappropriate shocks (IAS) occur in more than 3.1% of the population with S-ICD each year and are usually followed by admission to the emergency department (ED). In this setting, the disabling of IAS is mandatory during a pseudo-electrical storm (ES). This report describes the strategies that can be followed in order to temporarily inhibit IAS in critical care settings with the use of magnets. Case presentation: An S-ICD was implanted more than 6 weeks prior to presentation in a 68-year-old man with hypertrophic cardiomyopathy. In the ED, the patient experienced 3 IAS in the last hour. A Medtronic magnet was applied to stop IAS, as the specific programmer was not available. The maneuver interrupted the IAS. In order to verify the universal magnetic response of the S-ICD, six different magnets and one smartphone with MagSafe technology were tested. All magnet models suspended arrhythmia detection and IAS, while the smartphone did not cause magnet interferences. Conclusions: This report demonstrates the safety and efficacy of all clinical magnet models in inhibiting IAS. In case of pseudo-ES, any type of magnet allows ED providers to easily and rapidly disable the functionality of the devices when appropriate.
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