Perfuração do ventrículo direito por cabo de marca-passo de fixação passiva
Bibliographic record
Abstract
Relato de Caso Palavras-chaveVentrículos do coração/lesões; ventrículo direito/lesões, ferimentos e lesões; ferimentos perfurantes.Perfuração ventricular subaguda é uma complicação rara do implante de marca-passo ou desfibrilador cardioversor implantável (DCI).Entretanto, ela pode ser potencialmente fatal.O desenvolvimento de cabos-eletrodos de fixação ativa de pequenos diâmetros pode estar associado com o aumento de risco de perfuração tardia ventricular.Além disso, o tratamento dessa complicação tem sido pouco descrito.Reportamos um caso pouco usual de perfuração subaguda de ventrículo direito, causada por um cabo-eletrodo de fixação passiva.Subacute ventricular perforation is a rare complication of pacemaker or implantable-cardioverter defibrillator implantation.However, it can be life threatening.The development of small-diameter active fixation leads may be associated with increased risk for delayed right ventricular perforation.Additionally, the management of this complication has been poorly described.We report an unusual case of subacute right ventricular perforation caused by a passive fixation lead.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".