icd術(shù)后電擊管理-文庫吧資料
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【正文】 r ATP During Charging? sequence 再確認(rèn)的“ 心律失常窗口 ” ? 老算法：由程控的 VT/VF最低診斷頻率決定 ? 新算法 ：由事件自身頻率決定 偏慢，易誤觸發(fā) 不易受 PVC，快心率影響 22 Case Study: Operation in Marqius7230ICD Current Confirmation Interval = TDI + 60 ms 420 ms = 360 ms + 60 ms Reconfirm Sync Shock 目前應(yīng)用的 Confirmation 23 Case Study: Operation in ProtectaICD Abort Confirmation Interval = Rhythm Cycle length + 60 ms 310 ms = 250 ms + 60 ms VT zone programmed ON at 360 ms (Old CI = 420 ms) Rhythm cycle length = 250 ms Shock would be aborted with Protecta Confirmation Interval = 250 ms + 60 = 310 ms Intervals after ATP During Charging used in confirmation Confirmation + SmartShock ?臨床表現(xiàn)如何？ 背景： ?證實 ICD功能需要大量患者進(jìn)行數(shù)年長期的隨訪 ?進(jìn)行前瞻性，隨機研究評估幾個程控策略的組合是一個挑戰(zhàn) (費用 , 時間 , …) 目的 : 應(yīng)用計算機模型和長期臨床研究的 ICD事件數(shù)據(jù)預(yù)測策略 /功能組合減少電擊的結(jié)果 J Cardiovasc Electrophysiol. 2022 Mar。359(10):10091017 Poster: Poole JE, et al. Analysis of ICD Shock Electrograms in the SCDHeFT Trial. Heart Rhythm Society Conference. 2022. 不必要 恰當(dāng) 不恰當(dāng) 美敦力減少電擊的完整管理方案 ATP During ChargingTM 優(yōu)化的 ATP無痛治療 Biv amp。302(2):134135. 減少疼痛，焦慮 增加 ICD的接受度 1 減少醫(yī)療費用，提高患者生活質(zhì)量 1 避免電擊的重要性 避免電擊 提高生存率 降低心衰的發(fā)生 2 1 Wathen MS, DeGroot PJ, Sweeney MO, et al, for the PainFREE Rx II Investigators. Prospective randomized multicenter trial of empirical antitachycardia pacing versus shocks for spontaneous rapid ventricular tachycardia in patients with implantable cardioverterdefibrillators: Pacing Fast Ventricular Tachycardia Reduces Shock Therapies (PainFREE Rx II) trial results. Circulation. October 26, 2022。51(14):13571365. 3 Poole JE, Johnson GW, Hellkamp AS, et al. Prognostic importance of defibrillator shocks in patients with heart failure. N Engl
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