期刊文献+

单腔心室不同起搏部位对缓慢心律失常患者影响

The Effects of Different Pacing Sites on the Patients With Slow Arrhythmia
下载PDF
导出
摘要 目的研究单腔心室不同起搏部位对缓慢心律失常患者治疗的影响。方法根据2009年1月~2012年2月我院的286例植入永久性起搏器的心律失常患者进行探讨分析,分成A、B、C三组,对三组患者进行三年随访,根据患者的各项指标来进行对比分析。结果经过跟踪随访发现,B组和C组患者的各项水平均要由于A组,P〈0.05,差异具有统计学意义。LVEF水平要比A组患者高,P〈0.05,差异具有统计学意义。B组的QRSd水平比C组低,P〈0.05,差异具有统计学意义。结论缓慢心率失常患者临床接受心脏起搏器植入时,应该选择右室间隔部起搏,可以对右心室的功能起到较大的改善,而且该部位的起搏和生理性起搏要更加吻合,效果更突出。 Objective To analysis the influence of single chamber ventricular different pacing site on slow arrhythmia patients. Methods Selected 286 cases of implanted permanent pacemaker arrhythmia patients from January 2009 to February 2012 in our hospital, which were divided into a, B, C three groups, three groups of patients were followed up for three years, according to the indicators of patients carries on the contrast analysis. Results After follow-up, group B and group C were the level to due to group A, P〈0.05, was difference statistically significance. The level of LVEF was higher than that of the A group, P〈0.05, was difference statistically significance The QRSd level of B group was lower than that of C group, P〈0.05, was difference statistically significance. Conclusion Slow arrhythmia patients underwent implantation of a pacemaker, should choose right ventricular septal pacing and a greater improvement on the function of the right ventricle, and the site of pacing and physiologic pacing to more consistent, so the effect is prominent.
作者 唐淑艳
出处 《中国继续医学教育》 2016年第4期140-141,共2页 China Continuing Medical Education
关键词 单腔心室起搏 缓慢心律失常 起搏部位 Single chamber ventricular pacing Slow arrhythmia Pacemaker site
  • 相关文献

参考文献5

二级参考文献42

  • 1张小勇,谭强,光雪峰,李易,张戈.双腔和单腔起搏对高度房室传导阻滞患者血脑钠素水平的影响[J].中国心血管杂志,2005,10(1):54-56. 被引量:4
  • 2陈泗林,林纯莹,刘烈,吴书林.主动固定电极在右室流出道间隔部起搏中的应用研究[J].中国心脏起搏与心电生理杂志,2007,21(3):206-208. 被引量:33
  • 3Karpawich PP, Mital S. Comparative left ventricular function following atrial, septal and apical single chamber heart pacing in the young. Pacing Clin Electrophysiol, 1997,20 : 1983.
  • 4Chon JC, Pachon EI Alboronoz RN. Ventricular endocardial right bifocal stimulation in the treatment of severe dilated eardiomyopathy heart failure with wide QRS. PACE, 2001, 24 (9Pt1) : 1369.
  • 5Giudici MC, Thornberg GA, Buck DL, et al. permanent right ventricular outflow t ract pacing improves cardiac output-comparision with apical lead placement in 58 patients. PACE, 1994, 17:776-779.
  • 6Chwab B, Kindermann M, Frohlig G, et al. Septal lead implantation for the reduction of paced QRS duration using passive fixation leads. PACE, 2001,24:28-33.
  • 7Shukla HH,Hellkamp AS,James EA,et al.Heart failure hospitalization is more common in pacemaker patients with sinus node dysfunction and a prolonged paced QRS duration[J].Heart Rhythm,2005,2:245-251.
  • 8Connolly SJ,Kerr CR,Gent M,et al.Effects of physiologic pacing versus ventricular pacing on the risk of stroke and death due to cardiovascular causes.Canadian Trial of Physiologic Pacing Invertigators[J].N Engl J Med,2000,342:1385-1391.
  • 9Sandhu R,Bahler RC.Prevalence of QRS prolongation in a community hospital cohort of patients with heart failure and its relation to left ventricular systolic dysfunction[J].Am J Cardiol,2004,93:244-246.
  • 10Prinzen FW,Peschar M.Relation between the pacing induced sequence of activation and left ventriular pump function in animals[J].Pacing Clin Electrophysiol,2002,25(4 Pt 1):484-498.

共引文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部