自动化起搏器在病窦综合征中的应用分析  

The application of automatic pacemaker in sick sinus syndrome

作　　者：赵龙[1] 任澎[1] 关彦军[1] 马伟[1] 李恭[1] 

机构地区：[1]新疆维吾尔自治区人民医院心内科,新疆乌鲁木齐830001

出　　处：《中国心脏起搏与心电生理杂志》2011年第6期496-498,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的通过对病窦综合征患者植入自动化起搏器的随访,分析其心房自动阈值管理、心室自动阈值管理、自动房室间期搜索等功能的安全性和有效性。方法选取病窦综合征26例,其中植入Enpluse E2D01起搏器13例、Adapta ADDR01起搏器6例、Kappa 701起搏器7例;植入时Adapta ADDR01起搏器关闭最小心室起搏功能;分别于起搏器植入后1,3,6个月时复查起搏器参数。结果随访的Enpluse、Adapta起搏器病例均完成了心房起搏阈值自动管理;于1,3,6个月随访时,手动与自动测量的心房阈值无差异。所有随访的病例均完成心室起搏阈值自动管理;于1,3,6个月随访时,手动与自动测量心室阈值无差异。术后随访患者大部分心室事件为感知事件。结论 Enpluse、Adapta、Kappa起搏器的自动化功能安全、有效。Objective To investigate the safety and effectiveness of automatic pacemaker in sick sinus syndrome. Methods Twenty-six patients with sick sinus syndrome were implanted automatic pacemaker, including 13 Enpluse E2DO1, 6 Adapta ADDR01, 7 Kappa 701. Minimal ventricular pacing from pump function were closed in adapta AD- DRO1. The pacemaker parameters were reviewed at 1,3 and 6 months after implantation. Results The follow-up of En- pluse, Adapta were completed for the automatic management of atrial pacing threshold. At 1,3 and 6 months of follow-up, manual and automatic atrial threshold measurement were of no difference. All patients were followed up to complete auto- matic management of ventricular pacing thresholds. At 1,3 and 6 months of follow-up, manual and automatic measurement of ventricular threshold had no difference too. Most cardiac events were perceived events. Conclusion Enpluse, Adap- ta, Kappa pacemaker automation is safe and effective.

关 键 词：心血管病学 起搏器 病窦综合征 阈值管理 房室搜索 

分 类 号：R541.74[医药卫生—心血管疾病] R318.11[医药卫生—内科学]