老年患者生理性心脏起搏33例分析  

The analysis of the clinical characteristics of physiological pacing in elderly patients

作　　者：杨颖[1] 李俊[1] 李际瞻 柏战 张咏芳[1] 方小芳[1] 汪明珠[1] 

机构地区：[1]安徽省芜湖市第二人民医院,241000

出　　处：《临床心电学杂志》2008年第6期439-441,共3页Journal of Clinical Electrocardiology

摘　　要：目的比较生理性与非生理性心脏起搏治疗老年缓慢心律失常的临床效果。方法2002～2008年老年患者植入生理性心脏起搏器33例,其中VVIR3例,DDD7例,DDDR19例,CRT4例。同期40例患者接受非生理性按需型起搏(VVI)。术后随访6～24个月,术前、术后超声法测定左房内径(LAD)、左室舒张末期内径(LVDd)、左室射血分数(LVEF),NYHA分级法评定心功能。记录术后症状改善率、起搏器综合征(PMS)、房颤、栓塞发生率、心衰及死亡等情况。结果生理性心脏起搏显著改善症状、提高心功能和减少房颤发生率,但在减少PMS、栓塞、死亡率方面和非生理性心脏起搏无明显差别。结论老年缓慢心律失常患者多数合并心功能减退,为保护心功能,提高术后生活质量,应尽可能采用生理性心脏起搏。Objective To compare the effect of physiological pacing and non- physiological pacing in elderly patients with bradyarrhythmia. Methods There are 33 elderly patients had pacemaker implanted in our hospital during 2002-2008, different paceing mode were chosed, including VVIR（3）, DDD（7）, DDDR（19）, CRT（4）. The other 40 patients with non- physiological pacing were enrolled as control group. Results The follow up period was 6-24 months, the diameter of left atria （LAD） and left ventricular during diastolic （LVDd） and the LVEF were measured by ultrasoundcardiogram, the heart function were valued by NYHA criterion. There was no difference between the physiological pacing and non- physiological pacing group in the improvement of heart function and the decrease of embolism and atrial fibrillation and motality. Conclusion physiological pacing is optical to the elderly patients, who usually had heart function decrease; and patients can benefit from physiological pacing.

关 键 词：老年 心脏起搏 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]