icd術(shù)后電擊管理(更新版)
【正文】 hock Reduction Strategies. Presented at HRS 2022 (P03125). PainFree SST Trial Primary Results PainFree SST研究為證實(shí)新檢測(cè)算法和出廠設(shè)置可以降低不恰當(dāng)電擊率而設(shè)計(jì) PainFree SST Trial Primary Results 27 主要目的 : 評(píng)估植入一年后 Medtronic Protecta DRICD/ CRTD 和 VRICD不恰當(dāng)電擊率 Low Shock Rates in Patients with Dual and Triple Chamber ICDs Using Novel Detection Algorithms Study overview1 1. Auricchio 2022 Europace, 2. Heintze 2022 ACC poster, 3. Schloss 2022 HRS presentation PainFree SST Trial Primary Results 28 Inappropriate shock free rate at 1 year3 Enrollment Phase II (n=2536) Primary prevention (n=1826) Secondary prevention (n=710) Required programming PHD Follow up visit every 6mo April 2022 Enrollment Phase I (n=246) Inappropriate shock free rate at 1 year DRICD and CRTD (n=2022) VRICD (n=757) FU at 1, 3 and 6mo Safety and detection performance2 FU ≥ 1year (n=1308) FU 1year (n=699) Sep 2022 LBT EUROPACE 2022 階 段 I 階 段 II 一級(jí)終點(diǎn)：無(wú)不恰當(dāng)電擊率 DR/CRTD： 一年 %患者 無(wú)不恰當(dāng)電擊率 VR： 一年 %患者 無(wú)不恰當(dāng) Confidential and Proprietary。51(14):13571365. 3 Poole JE, Johnson GW, Hellkamp AS, et al. Prognostic importance of defibrillator shocks in patients with heart failure. N Engl J Med. September 4, 2022。110(17):25912596. 2 Sweeney MO, et al. Differences in effects of electrical therapy type on health care utilization in the MVP ICD Trial. HRS, 2022. 引起電擊的原因 4 Poole JE, et al. Heart Rhythm Society. 2022. SCD HeFT sample episode Poole JE, Johnson GW, Hellkamp AS, et al. Prognostic importance of defibrillator shocks in patients with heart failure. N Engl J Med. September 4, 2022。 RV ATP ? Oversensing/Artifact T波識(shí)別 可程控的 RV感知環(huán)路 導(dǎo)線完整性報(bào)警 導(dǎo)線噪聲識(shí)別 智能電擊技術(shù)SmartShock 謝謝！ 南方醫(yī)科大學(xué) 附屬南方醫(yī)院
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