对于电击导联阻抗非常高的患者，能否通过除颤阈值测试排除导联损伤？

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2025-02-12 DOI:10.1002/joa3.70014

Masataka Narita MD, Yoshifumi Ikeda MD, PhD, Hitoshi Mori MD, PhD, Ritsushi Kato MD, PhD, Kazuo Matsumoto MD, PhD

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Can lead damage be ruled out using defibrillation threshold testing in patients with very high-impedance shock leads?

This is the first report describing a shock lead whose functionality can be assessed using TSI measurement, even in cases where shock impedances derived from LVSM exceed 200 Ω. However, the lead exhibited high shock impedance after the DFT test, highlighting the need to monitor it closely.

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