频率适应性起搏
State-of-the-art in rate adaptive pacing
摘要
生理性起搏旨在重建心脏的节律和激动顺序。较多需要植入起搏器的患者存在窦房结功能不良，对运动和情绪不能作出正常的心率反应，即变时功能不良；而有些患者[例如心房颤动（房颤）患者]的心房信号不适于房室跟踪起搏。这些问题使得人们去寻找心房以外的信号来改善起搏频率，促进了人工传感器（sensor）的发展并应用于起搏技术中。频率适应性起搏（rate adaptive pacing）是指起搏器通过传感器感知体内生理、生化及物理参数的变化随时自动调整起搏频率。传感器模拟正常窦房结的反应，满足运动和非运动的需要。
出处
《中华心律失常学杂志》
2007年第5期331-341,共11页
Chinese Journal of Cardiac Arrhythmias
参考文献72
-
1Dalai JD. Variable rate timer for a cardiac pacemaker. US Patent 4, 140, 132, Feb20, 1979.
-
2Benditt DG, Milstein S, Buetikofer J, et al. Sensor-triggered, ratevariable cardiac pacing: current technologies and clinical implications. Ann Intern Med, 1987, 107: 714-724.
-
3Lau CP, Stott JR, Toff WD, et al. Selective vibration sensing: new design of activity-sensing rate-responsive pacing. PACE, 1988, 11 : 1299 -1309.
-
4Lau CP, Mehta D, Toff W, et al. Limitations of rate response of activity-sensing rate-responsive pacing to different forms of activity. PACE, 1988, 11: 141-150.
-
5Lau CP, Tse WS, Camm AJ. Clinical experience with Sensolog 703: a new activity-sensing rate-responsive pacemaker. PACE, 1988, 11 : 1444-1455.
-
6Ahem T, Nydegger C, Mc Cormick DJ, et al. Incidence and timing of activity parameter changes in activity response pacing system. PACE, 1992, 15: 762-770.
-
7Lau CP, Tai YT, Fong PC, et al. Clinical experience with an accelerometer based activity sensing dual chamber rate adaptive pacemaker. PACE, 1992, 15: 334-343.
-
8Garrigue S, Gentilini C, Hofgartner F, et al. Performance of a rate responsive accelerometer-based pacemaker with autocalibratoin during standardized exercise and recovery. PACE, 2002, 25: 883- 887.
-
9Benditt DG, Mianulli M, Fetter J, et al. Single-chamber cardiac pacing with activity-initiated chronotropic response: evaluation by cardiopulmonary exercise testing. Circulation, 1987, 75: 184-191.
-
10Lau CP, Camm AJ. Role of left ventricular function and Doppler derived variables in predicting hemodynamic benefits of rate-responsive pacing. Am J Cardiol, 1988, 62: 906-911.
-
1谢浦荻,赵崇侃,张祝山,朱思明.不同起搏频率对清醒狗血流动力学的影响[J].起搏与心脏,1992,6(3):155-157.
-
2田青平,路雅茹,吴建国.生理性起搏的临床应用[J].天津医药,2000,28(4):209-211. 被引量：1
-
3汪康平,刘志华,谢崇伦,惠杰,蒋文平.生理性起搏的临床应用和适应证选择[J].起搏与心脏,1991,5(4):180-182.
-
4滕志涛,赵培勇,吴荣,钱焕德,李婧,郑武扬,李尚艾.植入永久心脏起搏器后无症状性心房颤动的发生及临床意义[J].中国临床保健杂志,2007,10(3):304-304. 被引量：6
-
5耿仁义,朱中林.高频电刀对埋植起搏器影响的初步探讨[J].中国心脏起搏与心电生理杂志,1996,10(1):22-23. 被引量：15
-
6潘晓宏,程玲,黄成林,徐耕,傅国胜,单江.复合感知传感器频率适应性起搏的临床研究[J].中华急诊医学杂志,2006,15(12):1122-1124.
-
7叶松,金啸.术后镇痛对小儿七氟烷麻醉苏醒期躁动的影响[J].中国医师进修杂志,2008,31(8):56-58. 被引量：4
-
8胡文博,杨建生.生理性起搏临床疗效观察[J].青海医药杂志,1997,27(4):10-11.
-
9栾颖,武金波,李学奇.右心室起搏的血流动力学[J].临床内科杂志,2003,20(4):223-224. 被引量：4
-
10严华女.对植入起搏器患者远期心理的护理[J].齐齐哈尔医学院学报,2002,23(12):1392-1393.
