Current trends in use of implantable cardioverter defibrillators and cardiac resynchronization therapy with a pacemaker or defibrillator in Japanese pediatric patients: results from a nationwide questionnaire survey.
Current trends in use of implantable cardioverter defibrillators and cardiac resynchronization therapy with a pacemaker or defibrillator in Japanese pediatric patients: results from a nationwide questionnaire survey.
复制标题
日本儿科患者使用植入式心律转复除颤器以及起搏器或除颤器心脏再同步治疗的当前趋势：全国问卷调查的结果。
DOI：
10.1253/circj.cj-13-1379
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
S. Yasukochi
中科院分区：
文献类型：
--
作者：
Tsugutoshi Suzuki;N. Sumitomo;J. Yoshimoto;A. Miyazaki;K. Hinokiyama;H. Ushinohama;S. Yasukochi
背景
在日本，尚未对植入式心脏复律除颤器（ICD）、双心室起搏器（CRTP）心脏复律治疗和除颤器CRT（CRTD）在儿童中的使用进行统计研究，由于现行政府法规，双腔（DDD）起搏器仍用于儿科CRT。
方法和结果
通过对2012年之前在日本儿童（<16岁）中进行的上述治疗进行问卷调查，从15家儿童医院和74家综合医院获得数据。在报告的所有病例（n=152）中，分别有64例（42%）、47例（31%）、34例（22%）和7例（5%）使用ICD、CRT和DDD、CRTP和CRTD。在所有CRTP和CRT-DDD病例（n=81）中，DDD的使用在综合医院占41%，在儿童医院占89%，CRT-DDD和CRTP在67例（83%）中有效。在64例ICD病例中，28例（44%）发生了适当的电击，19例（29%）发生了不适当的电击。此外，从日本心律失常器械行业协会获得的用于整体器械使用分析的数据显示，CRTP在儿童中的使用率高于成人。
结论
儿科器械治疗的需求日益增加，尤其是CRTP。然而，许多儿童医院在2012年仍在使用DDD起搏器。虽然儿童对器械治疗的需求可能很小，但它在儿科心脏病学中不可或缺。
BACKGROUND
In Japan, the use of implantable cardioverter defibrillators (ICDs), cardiac resynchronization therapy with a biventricular pacemaker (CRTP) and CRT with a defibrillator (CRTD) in children has not been studied statistically, and dual-chamber (DDD) pacemakers are still used for pediatric CRT because of current government regulations.
METHODS AND RESULTS
Data were obtained from 15 children's and 74 general hospitals through a questionnaire survey regarding the aforementioned therapies performed before 2012 in Japanese children (<16 years old). ICD, CRT with DDD, CRTP and CRTD were used in 64 (42%), 47 (31%), 34 (22%) and 7 (5%), respectively, of all cases reported (n=152). Among all CRTP and CRT-DDD cases (n=81), the use of DDD accounted for 41% in general hospitals vs. 89% in children's hospitals, and CRT-DDD and CRTP were effective in 67 cases (83%). Of 64 ICD cases, appropriate shocks were experienced in 28 cases (44%), and inappropriate shocks in 19 cases (29%). Additionally, data from the Japan Arrhythmia Device Industry Association obtained for overall device usage analysis revealed that CRTP was more commonly used in children than in adults.
CONCLUSIONS
There is an increasing need for pediatric device therapy, especially CRTP. However, many children's hospitals were still using DDD pacemakers in 2012. Although the demand for device therapy in children may be small, it is indispensable in pediatric cardiology.