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首页> 外文期刊>Nature reviews. Urology >Kidney cancer in 2011: Objectifying risk for localized renal masses
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Kidney cancer in 2011: Objectifying risk for localized renal masses

机译：2011年的肾脏癌：确定局部肾脏肿块的风险

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Aims: The present study evaluates the relevance and additional safety value of pre-hospital discharge (PHD) testing in patients with implantable cardioverter defibrillator (ICD) therapy. MethodsFrom June 1998 to May 2009, 975 patients (830 male, 145 female) with ICD were screened retrospectively for failed PHD and analysed for its consequences, risk factors, and patient characteristics after successful intra-operative testing in the implantation procedure. ResultsPre-hospital discharge testing procedure was performed in 809 cases. No serious adverse events (e.g. death, persistant ventricular fibrillation or ventricular tachycardia, stroke) occurred. The overall incidence of failed PHD was 1.4 (n 11). The underlying mechanisms were defibrillation threshold failure in 9/11 cases and sensing failure in 2/11 cases. Conclusion: sIn this study predictors for PHD-failure are: (i) cardiomyopathy other than ischaemic or dilative, (ii) young age, and (iii) small or very large left ventricular end-diastolic diameter (< 40 or > 65 mm).Particularly, (i) manufacture of device or leads, (ii) lead design, (iii) medical treatment, or (iv) gender have no significant influence on PHD failure. Published on behalf of the European Society of Cardiology. All rights reserved.
机译：目的：本研究评估了植入式心脏复律除颤器（ICD）治疗患者院前出院（PHD）测试的相关性和附加安全性。方法从1998年6月至2009年5月，对975例ICD患者（男830例，女145例）进行回顾性筛查，以了解PHD失败的情况，并在成功进行术中测试后分析其后果，危险因素和患者特征。结果809例患者进行了院前出院检查。没有发生严重的不良事件（例如死亡，持续性室颤或室性心动过速，中风）。 PHD失败的总体发生率为1.4（n 11）。潜在的机制是9/11例除颤阈值失败和2/11例感测失败。结论：在本研究中，PHD失败的预测因素是：（i）缺血性或扩张性心肌病以外的疾病;（ii）年轻人;（iii）左室舒张末期直径小或非常大（<40或> 65 mm）特别是（i）装置或导线的制造，（ii）导线的设计，（iii）药物治疗或（iv）性别对PHD失败没有重大影响。代表欧洲心脏病学会出版。版权所有。

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