Simoncelli U, Marchetti A, Faggiano P, Sorgato A, Rusconi C
Divisione di Cardiologia, Ospedale S. Orsola Fatebenefratelli, Brescia.
Minerva Cardioangiol. 1991 Sep;39(9):353-8.
The paper describes the clinical case of an elderly patient with heart failure, the possessor of a dual-chamber pacemaker programmed in DDD mode, in whom a complete interatrial block with left atrial standstill was diagnosed. The authors discuss the physiopathological aspect of the case which is a paradigmatic example of the problems related to dual-chamber pacing. In particular, the utility of an echo-Doppler assessment of the mechanical activity of the atria is emphasized together with a careful choice of the optimal atrioventricular delay in programming and the follow-up of dual-chamber pacing.
该论文描述了一名老年心力衰竭患者的临床病例，该患者拥有一台以DDD模式程控的双腔起搏器，诊断为完全性心房阻滞伴左房静止。作者讨论了该病例的生理病理方面，这是双腔起搏相关问题的一个典型例子。特别强调了心房机械活动的超声多普勒评估的实用性，以及在双腔起搏程控和随访中精心选择最佳房室延迟。
