心房起搏的远期随访  

Long term follow up of atrial pacing

作　　者：耿仁义[1] 朱中林[1] 李伯君[1] 

机构地区：[1]解放军总医院心外科

出　　处：《中华心血管病杂志》1998年第3期196-197,共2页Chinese Journal of Cardiology

摘　　要：目的了解心房起搏的远期效果及并发症。方法对６６例心房起搏患者进行了临床、心电图、起搏参数的定期随访，随访时间为３８±２０４个月。结果所有患者术后生活质量明显改善，无１例心衰及死亡。术中、术后心电参数符合起搏要求。１６例术前阵发性心房颤动者，术后发作频率及时间明显减少（Ｐ＜００１、００５）。１５例（２２７％）发生过感知，电极移位４例（６１％），房室传导阻滞２例（３０％）。结论心房起搏是一种安全的起搏方式，可保持正常的房室收缩顺序功能及血流动力学效果。Objective To study the long term results and complications of atrial pacing.Methods A long term follow up survey was carried out in 66 cases of atrial pacing by clinical examination, electrocardiography, DCG and pacing parameter measurements. The mean follow up time was 38±2.04 months.Results The life quality of all patients was improved significantly, without heart failure or death. The pacing parameters were kept with the requirement of pacemaker during and after operation. In 16 patients the frequency and duration of paroxysmal atrial fibrillation were decreased markedly compared with those before atrial pacemaker implantation ( P <0.01 and P <0.05). Oversensing occurred in 15 patients (22.7%), Lead dislocation in 4 (6.1%), ant A V conduction block in two (3%). Conclusion AAI is a reliable and safe mode of pacing, and provides normal A V sequence and hemodynamics. Thus, atrial pacing is apparently superior to ventricular pacing.

关 键 词：病窦综合征 随访研究 人工心脏起搏 

分 类 号：R654.2[医药卫生—外科学] R541.740.5[医药卫生—临床医学]