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目的:观察成年先天性心脏病(CHD)患者应用埋藏式心脏复律除颤器(ICD)的预后和并发症,明确适当或不适当电击的预测因素。方法和结果:利用荷兰成人CHD注册数据库和一个比利时三级保健中心数据库检索到64例首次植入ICD时年龄≥18岁的CHD患者[63%为法洛四联症(TOF)患者,植入装置时年龄为37±13岁]。中位随访时间为3.7年。
OBJECTIVE: To observe the prognosis and complications of implantable cardioverter-defibrillator (ICD) in adult patients with congenital heart disease (CHD) and to identify the predictors of appropriate or inappropriate electric shock. Methods and Results: Sixty-four patients with CHD who were ≥18 years of age at the time of first ICD implantation were retrieved using a database of Dutch adult CHD registries and a Belgian tertiary care center [63% of patients with tetralogy of Fallot (TOF) were implanted Device when the age of 37 ± 13 years]. The median follow-up time was 3.7 years.