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首页> 外文期刊>Cases Journal >Permanent biventricular ICD-implantation in a heart failure second re-do-CABG patient: a case report
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Permanent biventricular ICD-implantation in a heart failure second re-do-CABG patient: a case report

机译：永久性双心室ICD植入于心力衰竭的第二例重做CABG患者中：一例病例报告

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摘要

Biventricular pacing has been suggested in end-stage heart failure. We present a 59-year-old patient undergoing second re-do CABG (coronary artery bypass graft) and carotid artery endarterectomy. Ejection fraction was 15%, QRS-width 175 ms. Following the carotid and CABG procedure, an implanted single-chamber ICD (implantable cardioverter defibrillator) was upgraded to permanent biventricular DDD pacing by implantation of one epicardial left ventricular and one epicardial atrial electrode. At follow-up two months postoperatively ejection fraction had significantly improved to 45%, the patient underwent stress test with adequate load and reported a good quality of life.
机译：已建议在末期心力衰竭中进行双心室起搏。我们介绍了一位59岁的患者正在接受第二次再做CABG（冠状动脉搭桥术）和颈动脉内膜切除术。射血分数为15％，QRS宽度为175 ms。在进行颈动脉和CABG手术后，通过植入一个心外膜左心室和一个心外膜心房电极，将植入的单腔ICD（可植入的心脏复律除颤器）升级为永久性双心室DDD起搏。术后两个月的随访中，射血分数显着改善至45％，患者接受了足够负荷的压力测试，并报告了良好的生活质量。

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