具备家庭监测功能起搏器临床应用  

The clinical application of home monitoring pacemaker

作　　者：吴文利[1] 梅霞[1] 李正恭[1] 郑向清[1] 张源[1] 宋波[1] 

机构地区：[1]重庆市中山医院心内科,重庆400013

出　　处：《中国心脏起搏与心电生理杂志》2011年第6期493-495,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的观察家庭监测(HM)起搏器在临床中的应用。方法 4例患者,2例因病窦综合征安置双腔起搏器,2例因心力衰竭安置了三腔起搏器,4台起搏器均带有HM功能,通过远程监测观察起搏系统及心律失常事件。结果在病例1中,发现阻抗的变化,及时发现电极导线问题,并予更换;在病例2中,发现模式转换及心律失常事件,并帮助判断药物治疗的有效性;在病例3中,监测右室起搏比例,帮助判断药物控制心室率的情况;在病例4中,监测各种心律失常事件和心脏再同步化治疗比例,发现了阵发性心房颤动,并及时给予治疗。结论 HM能很好实现远程监测。Objective To study the clinical application of Home Monitoring（HM） pacemaker. Methods Two cases of sick sinus syndrome were implanted with dual-chamber pacemaker, 2 cases of heart failure were implanted with three- chamber pacemaker. These four cases had HM pacemaker function, arrhythmic events and pacing were monitored through the remote monitoring system. Results Case 1 was found with changes of impedance, and the problem of the electrode wires was detected and replaced; Case 2 was discovered mode conversion and arrhythmia events and was help to determine the effectiveness of drug treatment ; Case 3 was monitored right ventricular proportion pacing and was helpful to determine the effectiveness of drug controlling ventricular rate ; Case 4 was monitored arrhythmic events and the proportion of CRT, and found paroxysmal atrial fibrillation, and treated timely. Conclusions HM can achieve good remote monitoring.

关 键 词：心血管病学 家庭监测 起搏器 随访 心律失常 

分 类 号：R318.11[医药卫生—生物医学工程] R541.7[医药卫生—基础医学]