美国心律学会和美国麻醉医师学会关于心血管植入型电子器械患者围术期处理专家共识解读

2017-10-30 中华心律失常学杂志,2017,21(5) :455-458.

随着心血管植入型电子器械(CIED)的广泛应用,外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多,该类患者的围术期处理变得越来越重要。然而,CIED 的围术期管理是外科医师、麻醉医师甚至普通心血管内科医师的知识盲区,往往导致处理不到位或过于积极。因此,美国心律学会和美国麻醉科医师学会联合颁布了《植入型心律转复除颤器(ICD)、起搏器和心律失常检测器患者的围术期处理专家共识》。由于该领域

中文标题:

美国心律学会和美国麻醉医师学会关于心血管植入型电子器械患者围术期处理专家共识解读

发布机构:

发布日期:

2017-10-30

简要介绍:

随着心血管植入型电子器械(CIED)的广泛应用,外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多,该类患者的围术期处理变得越来越重要。然而,CIED 的围术期管理是外科医师、麻醉医师甚至普通心血管内科医师的知识盲区,往往导致处理不到位或过于积极。因此,美国心律学会和美国麻醉科医师学会联合颁布了《植入型心律转复除颤器(ICD)、起搏器和心律失常检测器患者的围术期处理专家共识》。由于该领域缺少相关的临床研究,本共识内容多基于专家组丰富的临床经验和病例报道撰写,本文将围绕该共识进行相关解读。

作者: 南京医科大学第一附属医院心脏科 程典 顾凯 杨兵

 

拓展指南:心血管相关指南:

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美国心律学会和美国麻醉医师学会关于心血管植入型电子器械患者围术期处理专家共识解读
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  1. [GetPortalCommentsPageByObjectIdResponse(id=275365, encodeId=706e2e53659e, content=随着心血管植入型电子器械(CIED)的广泛应用.外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多.该类患者的围术期处理变得越来越重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Thu Jan 04 12:38:53 CST 2018, time=2018-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=275158, encodeId=6cce2e515857, content=不错的文章.值得拥有, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Wed Jan 03 22:43:16 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274680, encodeId=154b2e468036, content=非常好的文章.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Jan 02 08:44:11 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274602, encodeId=cfc42e4602fd, content=学习了很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Jan 02 00:05:38 CST 2018, time=2018-01-02, status=1, ipAttribution=)]
    2018-01-04 有备才能无患

    随着心血管植入型电子器械(CIED)的广泛应用.外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多.该类患者的围术期处理变得越来越重要

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=275365, encodeId=706e2e53659e, content=随着心血管植入型电子器械(CIED)的广泛应用.外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多.该类患者的围术期处理变得越来越重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Thu Jan 04 12:38:53 CST 2018, time=2018-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=275158, encodeId=6cce2e515857, content=不错的文章.值得拥有, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Wed Jan 03 22:43:16 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274680, encodeId=154b2e468036, content=非常好的文章.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Jan 02 08:44:11 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274602, encodeId=cfc42e4602fd, content=学习了很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Jan 02 00:05:38 CST 2018, time=2018-01-02, status=1, ipAttribution=)]
    2018-01-03 1e1b8538m79(暂无匿称)

    不错的文章.值得拥有

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=275365, encodeId=706e2e53659e, content=随着心血管植入型电子器械(CIED)的广泛应用.外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多.该类患者的围术期处理变得越来越重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Thu Jan 04 12:38:53 CST 2018, time=2018-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=275158, encodeId=6cce2e515857, content=不错的文章.值得拥有, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Wed Jan 03 22:43:16 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274680, encodeId=154b2e468036, content=非常好的文章.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Jan 02 08:44:11 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274602, encodeId=cfc42e4602fd, content=学习了很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Jan 02 00:05:38 CST 2018, time=2018-01-02, status=1, ipAttribution=)]
    2018-01-02 天涯183

    非常好的文章.学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=275365, encodeId=706e2e53659e, content=随着心血管植入型电子器械(CIED)的广泛应用.外科手术或其他医疗操作中遇到已经植入CIED 的患者越来越多.该类患者的围术期处理变得越来越重要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Thu Jan 04 12:38:53 CST 2018, time=2018-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=275158, encodeId=6cce2e515857, content=不错的文章.值得拥有, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Wed Jan 03 22:43:16 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274680, encodeId=154b2e468036, content=非常好的文章.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Tue Jan 02 08:44:11 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274602, encodeId=cfc42e4602fd, content=学习了很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Jan 02 00:05:38 CST 2018, time=2018-01-02, status=1, ipAttribution=)]
    2018-01-02 飛歌

    学习了很有用

    0