Parravicini U, Zanetta M, Zenone F, Bielli M
Servizio di Cardiologia, Ospedale di Borgomanero, Italy.
Pacing Clin Electrophysiol. 1992 Nov;15(11 Pt 2):1901-2. doi: 10.1111/j.1540-8159.1992.tb02990.x.
The implantation of a VDD system is comparable to that of a VVI system, but its management is associated with typical complications of dual chamber pacing. In 35 patients with symptomatic AV block and normal sinus node function, two different VDD pacing systems were implanted. Most of the complications described and their mode of resolution were common to VDD and DDD pacing; however, the VDD system eliminated the need for two separate leads. We, therefore, favor single lead VDD pacing in the treatment of complete AV block with normal sinus node function.
VDD系统的植入与VVI系统类似，但其管理与双腔起搏的典型并发症相关。在35例有症状的房室传导阻滞且窦房结功能正常的患者中，植入了两种不同的VDD起搏系统。所描述的大多数并发症及其解决方式在VDD和DDD起搏中是常见的；然而，VDD系统无需两根独立的导线。因此，我们支持在治疗窦房结功能正常的完全性房室传导阻滞时采用单导线VDD起搏。
