[完全性房室传导阻滞起搏患者的心房颤动发生率]

[Incidence of atrial fibrillation in paced patients with complete atrioventricular block].

作者信息

Majewski J, Lelakowski J

机构信息

Klinika Elektrokardiologii, Instytutu Kardiologii Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Przegl Lek. 2000;57(7-8):386-8.

PMID:11109310

Abstract

The aim of the study was to evaluate the incidence of chronic AF in patients paced due to complete AV block. The study group consisted of 130 pts (70 F, 60 M), mean age 68.6 +/- 14.3 y in whom pacemakers were implanted in the years 1990-1998 due to III degree AV block. There were 76 pts with VVI, 24 DDD and 30 VDD modes of pacing. Follow-up period was mean. 47.6 +/- 25.9 m (7-110). Chronic AF developed in 25 pts (19.2%). In the VVI group the incidence of AF was significantly higher than in DDD and VDD groups--30.3% vs. 4.17% and 3.33% respectively, p < 0.01. Ventriculo-atrial conduction (VAC) was found in 19 pts (14.6%), but did not correlate with the development of AF. Stroke occurred in 2 pts with VVI pacing and chronic AF. In conclusion, in pts with complete AV block VDD and DDD pacing significantly reduce the incidence of chronic AF as compared to VVI.

摘要

本研究旨在评估因完全性房室传导阻滞而接受起搏治疗的患者中慢性房颤的发生率。研究组由130例患者组成（70例女性，60例男性），平均年龄68.6±14.3岁，他们于1990年至1998年期间因三度房室传导阻滞植入起搏器。其中76例采用VVI起搏模式，24例采用DDD起搏模式，30例采用VDD起搏模式。随访期平均为47.6±25.9个月（7至110个月）。25例患者（19.2%）发生慢性房颤。在VVI组中房颤的发生率显著高于DDD组和VDD组，分别为30.3%、4.17%和3.33%，p<0.01。19例患者（14.6%）发现有室房传导（VAC），但与房颤的发生无关。2例接受VVI起搏并患有慢性房颤的患者发生了中风。总之，与VVI相比，在完全性房室传导阻滞患者中，VDD和DDD起搏显著降低了慢性房颤的发生率。