警惕CRT-D术后的持续性室性心动过速

Beware of sustained ventricular tachycardia after cardiac resynchronization therapy-defibrillator pacemaker implantation

所谓"CRT起搏器"是指具有心室再同步化治疗功能的三腔起搏器;"CRT-D起搏器"是指既具有心室再同步化治疗功能,又带除颤功能的三腔起搏器。目前这两类起搏器已经开始广泛应用于临床,关于起搏器的个体化合理设置,是目前专家的共识。本文将报道一例CRT-D治疗失败的病例,希望引起大家对个体化合理设置更多的关注。

Cardiac resynchronization therapy( CRT) pacemaker refers to the tri-chamber pacemaker functioned with ventricular resynchronization therapy while CRT-defibrillator pacemaker is equipped with defibrillation function based on CRT pacemaker. At present,the two types of pacemakers have been applied widely in clinical practice,and experts have reached a consensus on individualized rational setting of pacemakers. This paper reports a failed case of CRT-D therapy,and we hope to attract more attention to individualized rational setting of pacemakers.