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双腔起搏器最小化心室起搏功能的临床应用 被引量：2

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摘要 目的探讨双腔起搏器的最小化心室起搏(MPV)功能减少心室起搏的有效性及对血流动力学及房颤发生率的影响。方法观察98例植入DDD/R起搏器患者(打开MPV功能组49例,关闭MPV功能组49例)术后3、6、12个月的随访结果。结果打开MPV功能起搏器组右室起搏百分比明显减少(P<0.05);打开MPV功能起搏器组房颤负荷百分比在术后6个月和12个月减少(P<0.05);两组在植入起搏器术前术后心脏指数、左室舒张末径、左房内径、左室射血分数比较均无统计学意义(P>0.05)。结论打开MPV功能起搏器组在减少不必要的右室起搏及减少房颤发生率方面均优于关闭MPV功能组。
作者 张明惠 杜新平
机构地区 天津市第五中心医院心内科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2012年第12期2460-2462,共3页 Chinese Journal of Gerontology
关键词 双腔起搏器 最小化心室起搏 生理性起搏
分类号 R54 [医药卫生—心血管疾病]
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参考文献8

  • 1Gillis AM, Ptirerfellner H, Israel CW,et al. Reducing unnecessary right ventricular pacing with the managed ventricular pacing mode in patients with sinus node disease and AV block [ J ]. Pacing Clin Electrophysiol, 2006 ; 29 ( 7 ) :697-705.
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同被引文献21

  • 1Rey JL,Quenum S,Hero M.Effect of a pacing mode preserving spontaneous AV conduction on ventricular pacing burden and atrial arrhythmias.Pacing Clin Electrophysio1,2012,35:580-585.
  • 2Wilkoff BL,Cook JR,Epstein AE,et al.Dual-chamber pacing or ventricular backup pacing in patients with an implantsble defibrillator:the Dual Chamber and VVI Implantable Defibrillator (DAVID) Trial.JAMA,2002,288:3115-3123.
  • 3Sweeney MO,Hellkamp AS,Ellenbognn KA,et al.Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction.Circulation,2003,107:2932-2937.
  • 4Nielsen JC,Kristensen L,Andersen HR,et al.A randomized comparison of atrial and dualchamber pacing in 177 consecutive patients with sick sinus syndrome:Echocardiographic and clinical outcome.J AmColl Cardiol,2003,42:614-623.
  • 5Kristensen L,Nielsen JC,Mortensen PT,et al.Incidence of atrial fibrillation and thromboembolism in a randomised trial of atrial versus dual chamber pacing in 177 patients with sick sinus syndrome.Heart 2004,90:661-666.
  • 6Gillis AM,Chung MK.Pacing the right ventricle:To pace or not to pace? Heart Rhythm,2005,2:201-206.
  • 7Milasinovic G,Sperzel J,Smith TW,et al.Reduction of RV pacing by continuous optimization of the AV interval.Pacing Clin Electrophysiol,2006,29:406-412.
  • 8Sweeney MO,Bank AJ,Nsah E,et al.Minimizing ventricular pacing to reduce atrial fibrillation in sinus-node disease.N Engl J Med,2007,357:1000-1008.
  • 9Funck RC,Boriani G,Manolis AS,et al.The MINERVA study design and rationale:a controlled randomized trial to assess the clinical benefit of minimizing ventricular pacing in pacemaker patients with atrial tachyarrhythmias.Am Heart J,2008,156:445-451.
  • 10Toff WD,Carmm AJ,Skehan JD,et al.Single-chamber versus dualchamber pacing for high-grade a rioventricular block.N Engl J Med,2005,353:145-155.

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中国老年学杂志
2012年 第12期

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