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在一只患有房室传导阻滞的犬中植入永久性经静脉心内膜起搏器。

Implantation of permanent transvenous endocardial pacemaker in a dog with atrioventricular block.

作者信息

Kobayashi Masayuki, Hoshi Katsuichiro, Hirao Hidehiro, Shimizu Miki, Shimamura Shunsuke, Akiyama Midori, Tanaka Ryou, Maruo Kohji, Yamane Yoshihisa

机构信息

Department of Veterinary Surgery, Faculty of Agriculture, Tokyo University of Agriculture and Technology, Tokyo, Japan.

出版信息

J Vet Med Sci. 2003 Oct;65(10):1131-4. doi: 10.1292/jvms.65.1131.

DOI:10.1292/jvms.65.1131
PMID:14600355
Abstract

A 10-year old male mongrel dog was presented to the University Veterinary Teaching Hospital with a two-month history of episodic syncope. Twenty-four hr Holter electrocardiographic (ECG) recording revealed frequent episodes of advanced atrioventriculer block with long periods of ventricular asystole. The cause of syncope was determined to be Adams-Stokes syndrome exhibited bradyarrhythmia. After the animal failed to respond to medical therapy, permanent transvenous pacemaker implantation was performed. Postoperative Holter ECG showed 100 beat per min programmed pacemaker rhythm, which indicated successful capture of the artificial pacing. The dog recovered smoothly from the operation and syncopal episodes completely disappeared. Six months after the surgery, no complications were observed and the dog's quality of life has dramatically improved.

摘要

一只10岁的雄性杂种犬被送至大学兽医教学医院,有两个月发作性晕厥病史。24小时动态心电图记录显示频繁发生高度房室传导阻滞,伴有长时间心室停搏。晕厥原因被确定为表现为缓慢性心律失常的阿-斯综合征。在该动物对药物治疗无反应后,进行了永久性经静脉起搏器植入术。术后动态心电图显示起搏器程控频率为每分钟100次,表明人工起搏捕获成功。这只狗术后恢复顺利,晕厥发作完全消失。术后六个月,未观察到并发症,狗的生活质量有了显著改善。

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