老年人单导管DDD、VDD起搏系统的临床应用  

Clinical application of single lead DDD and VDD pacing in elderly

作　　者：蔡鑫[1] 高大胜[1] 史晓俊[1] 宋业年[1] 张宁汝[1] 冯慧勤[1] 

机构地区：[1]蚌埠医学院附属医院心血管科,233004

出　　处：《实用老年医学》2002年第6期310-311,共2页Practical Geriatrics

摘　　要：目的　观察老年人单导管双腔起搏器 (DDD)和心房感知型起搏器 (VDD)起搏系统的临床应用。　方法　 18例老年人采用锁骨下静脉穿刺法植入单导管DDD和VDD起搏器 ,并在植入后 1周 ,3～ 6月分别做动态心电图 (Holter)观察 ,随访时间 6月～ 4年。　 结果 　 18例患者均成功植入单导管DDD和VDD起搏系统。Holter检查显示 :VDD和DDD起搏器的工作模式大多为VAT ,房室同步起搏率达 95 %以上。　 结论 　单导管DDD和VDD起搏系统安装简单 ,无心房电极脱位等优点 。Objective To observe the clinical application of single lead DDD and VDD pacing in elderly. Methods Eighteen patients with Ⅲ or Ⅱ degree atrioventricular block(AVB) were implanted with single lead DDD and VDD pace makers(PM) by subclavian venous puncture.After pacemaker implantation,Holter monitorings were studied in later 1 week,3～6 month.All patients were followed for 6 months to 4 years. Results Holter study showed that DDD and VDD pacing were VAT mode and the rate of atrioventricular synchronic pacing was over 95%. Conclusions The single lead DDD and VDD pacing is an advanced physiologic pacing,simple,and having no atrial electrode displacement.It is a desirable method to prompt clinical application of single DDD and VDD pacing in the ederly.

关 键 词：老年人 临床应用 单导管 DDD起搏器 VDD起搏器 房室传导阻滞 

分 类 号：R541.76[医药卫生—心血管疾病] R318[医药卫生—内科学]