应用动态心电图分析心脏起搏器功能的价值

Application Value of DCG in Analyzing the Function of Cardiac Pacemaker

目的通过动态心电图(DCG)分析,了解起搏器起搏、感知及特殊功能,评价应用DCG检查在分析起搏器功能中的价值。方法回顾性分析180例次安装永久型心脏起搏器患者DCG检查结果。结果①检出起搏器起搏功能异常5例次,占2.8%。②检出起搏器感知功能异常60例次,占33.3%。③检出起搏器具有特殊功能65例次,占36.1%。④检出与起搏器有关心律失常52例次,占28.9%。结论 DCG检查能了解起搏器起搏、感知功能及起搏器特殊功能,判断与起搏器有关的各种心律失常,为通过体外程控仪调整起搏器技术参数提供参考依据。

Objective By analysis of dynamic electrocardiogram（DCG）,to understand the pacemaker pacing,perception and special features,and to evaluate the value of DCG in the analysis of pacemaker function.Methods A retrospective analysis of the DCG results of 180 patients with permanent pacemaker patients.Results ①Pacemaker pacing function abnormalitiy was found in 5 cases,accounting for 2.8%.②Pacemaker sensing dysfunction in 60 cases,accounting for 33.3%.③The pacemaker with special function in 65 cases,accounting for 36.1%.④The pacemaker related arrhythmias 52 cases,accounting for 28.9%.Conclusion DCG can understand the pacemaker pacing,perception and special pacemaker function,judge the various arrhythmias related with pacemaker,and provide reference for adjusting the pacemaker technical parameters through the programmer in vitro.