Left and Right Ventricle Leads Switch as a Solution for T Wave Oversensing - How a Good Idea Turned Out Bad

机译：左室和右室导联开关作为T波过传感的解决方案-好主意如何变坏

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A 50-year-old male with a CRT defibrillator received inappropriate ICD shocks due to T-wave oversensing. Decreasing the sensitivity to avoid T wave oversensing was not an option due to a suboptimal R-wave sensing amplitude. We decided to re-plug the LV lead in the RV port and the RV lead in the LV port. This however led to intermittent phrenic nerve stimulation due to mandatory bipolar (tip-ring) or unipolar (tip-can) pacing on the LV-lead from the RV port. Re-intervention was necessary with the implantation of an additional pacing/sensing RV lead. A software programmable choice to switch sensing and tachycardia detection from RV to LV lead could be a valuable feature in future CRT devices.

机译：一名具有CRT除颤器的50岁男性由于T波感应过度而受到了不适当的ICD电击。由于R波感测幅度不够理想，因此不能选择降低灵敏度以避免T波超感。我们决定重新插入RV端口中的LV引线和LV端口中的RV引线。但是，这是由于从RV端口对LV导线进行强制性双极（尖端环）或单极（尖端罐头）起搏而导致间歇性神经刺激。植入额外的起搏/感测RV导线后，必须进行重新干预。将传感和心动过速检测从RV切换到LV导线的软件可编程选择可能是未来CRT设备中的重要功能。

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期刊名称 Indian Pacing and Electrophysiology Journal
作者
BSN Alzand; TJE Phlips; R Willems;
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作者单位

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年(卷),期 2014(14),3
年度 2014
页码 157–160
总页数 4
原文格式 PDF
正文语种
中图分类人体生理学;
关键词
T-wave ovesensing CRT-D inappropriate socks;

机译：T波监测;CRT-D;不合适的袜子;

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专利

1. Oversensing in a cardioverter defibrillator system caused by interaction between two endocardial defibrillation leads in the right ventricle. [J] . Pfitzner P, Trappe HJ PACE: Pacing and clinical electrophysiology . 1998,第4aPta1期

机译：右心室中的两个心内除颤导线之间的相互作用引起的心脏复律除颤器系统过度感应。
2. Atrial Oversensing and Mode Switching Caused by Lead Polarization Artifact During an Automatic Ventricular Capture Threshold Test [J] . Cardiac electrophysiology clinics . 2012,第4期

机译：在自动心室捕获阈值测试过程中由铅极化伪影引起的心房过度感应和模式切换
3. Eight years of left ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle [J] . VanherckeD., HeytensW., VerlooveH. European journal of echocardiography: the journal of the Working Group on Echocardiography of the European Society of Cardiology . 2008,第6期

机译：左心室起搏八年，原因是左心室中的心脏起搏器导线意外错位
4. PARAMETER ESTIMATION BASED ON A SWITCHED OBSERVER FOR THE STUDY OF LEFT VENTRICLE CONTRACTILITY [C] . Paolo Valigi IFAC (International Federation of Automatic Control) World Congress . 2005

机译：基于开关观测器的参数估计用于左心室收缩性研究
5. Image-Based CFD Simulation of Blood Flow in the Left Ventricle via Echocardiography Data in a Fluid-Structure Interaction (FSI) Framework [D] . Mehri, Mohammad. 2021

机译：在流体 - 结构相互作用（FSI）框架中，通过超声心动图数据（FSI）框架中的基于图像的血流血流血流模拟
6. T-wave oversensing due to left ventricle–only pacing in cardiac resynchronization therapy optimization algorithm [O] . Philippe André, Benoit Plourde, Franck Molin, 2018

机译：心脏再同步治疗优化算法中仅左心室起搏引起的T波过度感应
7. Left and Right Ventricle Leads Switch as a Solution for T Wave Oversensing - How a Good Idea Turned Out Bad [O] . B.S.N. Alzand, MD, FESC, FACC, T.J.E. Phlips, MD, R. Willems, MD, PhD 2014

机译：左右心室导致切换作为T波超调的解决方案 - 一个好主意如何变坏

Left and Right Ventricle Leads Switch as a Solution for T Wave Oversensing - How a Good Idea Turned Out Bad

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