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Komplett subkutaner implantierbarer Kardioverter-Defibrillator

Betreuung von Patientinnen mit S-ICD® unter Entbindung

Completely subcutaneous implantable cardioverter defibrillator

Care of S-ICD® wearers during childbirth

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Zusammenfassung

Inadäquate Schockabgaben sind bei subkutanen implantierbaren Kardioverter-Defibrillatoren (S-ICDs) ein beschriebenes Problem. Situationen, wie z. B. der Geburtsvorgang, die für inadäquate Schockabgaben prädisponieren, müssen erkannt und die beste Behandlungsstrategie muss gewählt werden. Die Abschaltung des S-ICDs ist die sicherste Variante zum Ausschluss inadäquater Schockabgaben. Voraussetzungen zum Ausschalten des S-ICDs sind adäquates Monitoring und manuelle Schockmöglichkeiten.

Abstract

Inappropriate shock delivery is a problem that has been described for subcutaneous implantable cardioverter defibrillators (S-ICDs). Situations which predispose inappropriate shock delivery, such as childbirth, must be identified and the best treatment strategies selected. Inactivation of the S-ICD is the safest approach to avoiding inappropriate shock delivery. Inactivation of the S-ICD requires adequate patient monitoring and facilities for manual shock delivery.

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Authors and Affiliations

  1. Abteilung für Anästhesiologie, Ludwig-Maximilians-Universität, Marchioninistr 15, 81377, München, Deutschland

    C. Strewe

  2. Abteilung für Kardiologie, Medizinische Klinik I, Ludwig-Maximilians-Universität, München, Deutschland

    S. Fichtner

Authors
  1. C. Strewe
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  2. S. Fichtner
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Correspondence to C. Strewe.

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Interessenkonflikt

C. Strewe und S. Fichtner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Strewe, C., Fichtner, S. Komplett subkutaner implantierbarer Kardioverter-Defibrillator. Anaesthesist 64, 843–845 (2015). https://doi.org/10.1007/s00101-015-0082-y

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  • DOI: https://doi.org/10.1007/s00101-015-0082-y

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