植入型心律转复除颤器的术后程控

Postoperative Program of Implantable Cardioverter Defibrillator

植入型心律转复除颤器(ICD)作为心脏性猝死(SCD)的有效预防措施,在临床中逐渐得到广泛应用。通过设置一系列参数,ICD可正确识别和治疗快速性室性心律失常。与此同时,ICD针对非快速性室性心律失常及可自行终止的室速等发放的不适当和不必要放电会降低患者的临床获益,甚至增加死亡风险。因此,ICD术后需要进行长期随访并根据实际情况进行参数程控。本文就如何合理设置ICD参数以减少不适当和不必要放电进行综述。

Implantable cardioverter defibrillator （ICD） as an effective preventive measure of sudden cardiac death （SCD）, has been widely applied in clinic. By setting up a series of parameters, ICD can correctly recognize and treat rapid ventricular arrhythmia. At the same time, ICD for non-rapid ventricular arrhythmia and self terminating ventricular taehyeardia issued inappropriate and unnecessary discharge will reduce the clinical benefit of patients, and even increase the risk of death. Therefore, it is necessary for ICD of postoperative long-term follow-up and of parameter program according to the actual situation. This paper reviews how to set the ICD parameter to reduce inappropriate and unnecessary discharge.