具有多种抗心房颤动模式起搏器的临床应用  

Clinical application of pacemaker with atrial fibrillation preventive pacing algorithms

作　　者：张健发[1] 杨坤河[1] 黄定[1] 徐新娟[1] 汤宝鹏[1] 马依彤[1] 张燕一[1] 

机构地区：[1]新疆医科大学第一附属医院心内科,830054

出　　处：《国外医学（心血管疾病分册）》2004年第5期306-308,共3页

摘　　要：目的:评价心房程序起搏预防和治疗阵发性房颤的效果。方法:对15例阵发性房颤患者置入Selection 900E(AF2.0)型起搏器,调查分析术前2个月和术后2个月及4个月阵发性房颤事件各指标。 结果:患者术后2个月及4个月较术前2个月在有症状阵发性房颤事件数有明显地降低(34.2±18.01,19.73±7.79对66.30±26.06);术后4个月较术后2个月有症状阵发性房颤事件数、阵发性房颤事件总数、房颤总持续时间、房颤负荷均降低(P<0.05),而心房起搏比率无明显改变。 结论:生理性心房程序起搏减少阵发性房颤事件的发生,降低房颤负荷,并可以明显减少临床抗心律失常药物使用的种类和剂量。Objective:To assess the impact of dedicated physiological atrial-based preventive pacing algorithms in the treatment of paroxysmal atrial fibrillation(PAF). Methods: 15 patients were implanted vitatron Selection 900E(AF2. 0) pacemaker . Survey PAF episodes two months before implantation and the first two months and the next two months after implantation. Results:The number of symptomatic PAF episodes were significantly decreased in the first two months and the next two months compared with that in two months before implantation(34. 2 ± 18. 01,19. 73± 7. 79 vs 66. 30 ± 26. 06). The number of symptomatic PAF episodes storage episodes, total duration , AF burden were decreased in the second two months as compared with that in the first two months, but atrial pacing ratio was not changed. Conclusions;Dedicated physiological atrial-based preventive pacing algorithms can decrease occurrence of PAF episodes and AF burden, it can also decrease the categories and doses of antiarrhythmic drugs.

关 键 词：阵发性房颤 临床应用 起搏器 术后 术前 患者 心房颤动 事件 程序 使用 

分 类 号：R541.75[医药卫生—心血管疾病]