摘要
在545例使用心室按需型起搏器的患者中,有37例符合起搏器综合征的诊断,占6.7%。表现为安置起搏器后出现不同程度的低血压、头晕、胸闷、心悸、气促、咳嗽、痰中带血、出汗、腹痛、浮肿、焦虑、精神恍惚、头胀、面红、颈部异常搏动感等症侯。给予程控调整起搏频率尽可能恢复自身心律或适当调高起搏频率后,上述症侯均消除,支持起搏器综合征的诊断。37例中无一例需改置房室顺序起搏器。
VVI pacemakers were implanted in 545 patients and 37(6.7%) of them were complicated by pacemaker syndrome:manifestating hypotension,dizziness,oppressive sensation over the chest,palpitation,breathlessness,cough,bloody sputum,diaphoresis,abdominal pain,edema,anxiety and confusion.The treatment of pacemaker syndrome induced by programmable VVI pacemaker mainly included raising up pacing rate for the patients with ventriculoatrial conduction (VAC) or slowing down pacing rate for the patients without VAC.After the treatment,the pacemaker syndrome of the 37 patients subsided within one month.
出处
《中国心脏起搏与心电生理杂志》
1996年第4期206-207,共2页
Chinese Journal of Cardiac Pacing and Electrophysiology
关键词
起搏器
综合征
诊断
处理
Pacemaker Pacemaker syndrome Diagnosis Treatment