Discrimination Between QRS and T Waves Using a Right Parasternal Lead for S-ICD in a Patient with a Single Ventricle
Discrimination Between QRS and T Waves Using a Right Parasternal Lead for S-ICD in a Patient with a Single Ventricle
复制标题
单心室患者 S-ICD 中使用右胸骨旁导联区分 QRS 波和 T 波
DOI：
10.1111/pace.13046
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Takatsuki S
中科院分区：
文献类型：
--
作者：
Nishiyama T;Kimura T;Nishiyama N;Aizawa Y;Fukuda K;Takatsuki S
皮下埋藏式心律转复除颤器(S-ICD)对于因心内分流而禁止经静脉导联的单心室(SV)患者是一种有用的选择。我们报告一个病例，在一个复苏的患有室性心动过速的病人中，S-ICD需要放置右侧胸骨旁导联。与左侧胸骨旁导联相比，右侧R/T波波幅有显著变化。选择合适的胸骨旁体位，可有效地选择合适的先心病患者行S-ICD植入术。
The subcutaneous implantable cardioverter‐defibrillator (S‐ICD) is a useful option for patients with a single ventricle (SV) in which transvenous leads are contraindicated because of intracardiac shunts. We report a case in which a right parasternal lead placement was indicated for an S‐ICD in a resuscitated patient with an SV. There were significant changes in the magnitude of R to T waves ratio in the right compared to the left parasternal lead position. Screening in the right parasternal position is effective for selecting appropriate patients with congenital heart disease for S‐ICD implantations.