Sgarbossa E, Maloney J D
Cleveland Clinic Foundation, Ohio.
Curr Opin Cardiol. 1992 Feb;7(1):15-22.
Over the past year, many studies have reported progress in cardiac pacing. Better understanding of the cardiovascular and neuroendocrinologic physiology and sophisticated technologic advances have contributed to the development of new therapeutic approaches. In this review, we discuss the relevant literature on temporary pacing, physiologic mechanisms involved during pacing, the importance of atrioventricular synchrony and rate responsiveness, recent technologic advances, interactions between pacemakers and defibrillators, and reports on therapy. In the field of atrioventricular block, emphasis is on the characterization of new causes and clinical presentation in special populations.
在过去的一年里,许多研究报告了心脏起搏方面的进展。对心血管和神经内分泌生理学的更深入理解以及先进技术的进步推动了新治疗方法的发展。在本综述中,我们讨论了关于临时起搏的相关文献、起搏过程中涉及的生理机制、房室同步和频率应答的重要性、近期技术进展、起搏器与除颤器之间的相互作用以及治疗报告。在房室传导阻滞领域,重点是特殊人群中新病因的特征和临床表现。