ICD植入DFT测试是必须的.ppt

;内 容;ACC/AHA/HRS 2008年ICD治疗适应证指南（二级预防）; 心肌梗死所致LVEF35%且心肌梗死40天以上，NYHA II或III级 NYHA II或III级，LVEF≤35%的非缺血性心肌病患者 心肌梗死所致LVEF30%，且心肌梗死40天以上，NYHA I级 心肌梗死所致非持续性室速，LVEF40％，且心电生理检查能诱发出室颤或持续室速;ICD植入之目的;内 容;DFT升高的原因(1);DFT升高的原因(2);DFT升高的原因(3);DFT升高的原因(4);DFT升高的发生率;DFT升高的危害;DFT升高的处理方法;内 容;ICD植入有效性之保证;Cardiol J. 2007;14:463-9. Methods: 55 patients undergoing ICD implantation without DFT testing (No-DFT group) were selected. A randomly selected 57 patients undergoing standard DFT testing (DFT group) was compared in terms of appropriate shocks, clinical shock efficacy and all-cause mortality. Results: No-DFT group had a similar appropriate shock rate, but lower total survival (p=0.004) than DFT group. No-DFT group had a higher incidence of VF episodes (p=0.037), and deaths due to VF (3/17 vs. 0/) compared to the DFT group.; DeSouza等研究显示： 10J安全范围未 达标是SCD的独立预测因子 评估理想或至少足够的电击能量，减少 日后高能量放电及除颤失败机会; ; ;ICD植入有效性之保证(5) ;内 容;; ;我方观点;谢谢！