Mortensen Kai, Rudolph Volker, Willems Stephan, Ventura Rodolfo
University Heart Centre Hamburg, Department of Cardiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Expert Rev Med Devices. 2007 May;4(3):321-33. doi: 10.1586/17434440.4.3.321.
With increasing advances in technology, cardiac pacemakers have become highly sophisticated devices that allow diagnostic and therapeutic functions beyond conventional antibradycardic therapy. This review discusses the most promising developments in antibradycardic device therapy, such as novel diagnostic functions, telemonitoring, autoadjustment of programmed parameters, algorithms for support of intrinsic atrioventricular conduction, pacing algorithms for the prevention of atrial arrhythmias and cardiac resynchronization therapy. A short overview of the basic principles of antibradycardic device therapy is also provided.
随着技术的不断进步,心脏起搏器已成为高度复杂的设备,其具备超越传统抗心动过缓治疗的诊断和治疗功能。本文综述了抗心动过缓器械治疗中最具前景的进展,如新型诊断功能、远程监测、程控参数的自动调整、支持固有房室传导的算法、预防房性心律失常的起搏算法以及心脏再同步治疗。本文还简要概述了抗心动过缓器械治疗的基本原理。