导管消融术后患者全皮下植入型心律转复除颤器心电图筛查失败一例
Chinese Journal of Cardiac Arrhythmias(2021)
Abstract
患者为中年男性,因"反复心悸、晕厥"就诊,心电图提示室性心动过速(室速),导管消融后形成完全性右束支传导阻滞,术后再次出现心悸,拟植入全皮下植入型心律转复除颤器(S-ICD),但体表心电图筛查不通过,改植入经静脉植入型心律转复除颤器。因此,导管消融可能导致QRS-T波形态改变,从而影响S-ICD体表心电图筛查结果。
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