Inappropriate ICD shocks caused by T-wave oversensing due to acute alcohol intoxication.
Inappropriate ICD shocks caused by T-wave oversensing due to acute alcohol intoxication.
复制标题
急性酒精中毒导致 T 波过度敏感而导致 ICD 电击不当。
DOI：
10.1111/j.1540-8159.2012.03348.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Patel,VickasV
中科院分区：
文献类型：
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作者：
Rasania,SurajP;Mountantonakis,Stavros;Patel,VickasV
T波过感知可能是一个严重的问题，通常会导致不适当的器械治疗。我们在此报告了一名酗酒患者，由于急性酒精中毒引起的复极变化导致T波过感知而接受了多次不适当的ICD电击，并且没有其他相关的代谢紊乱。几天后从酒精中毒中恢复后，T波振幅降低，因此器械不再不适当地感知或输送治疗。这种情况代表了T波过感知的一种不常见但可逆的原因，在采取更积极的措施纠正异常之前应考虑到这一点。(PACE 2012; 35：e267-e271）
T‐wave oversensing can be a serious problem that often results in inappropriate device therapy. We report here a patient with binge alcohol use who received multiple, inappropriate ICD shocks due to T‐wave oversensing from repolarization changes induced by acute alcohol intoxication and no other relevant metabolic derangements. Following recovery from his alcohol intoxication a few days later, the T‐wave amplitude decreased so the device no longer inappropriately sensed or delivered therapies. This case represents an uncommon, but reversible, cause of T‐wave oversensing that should be considered before more aggressive measures are taken to correct the abnormality. (PACE 2012; 35:e267–e271)