Lim Hoong Sern
University Hospital Birmingham NHS Trust, Edgbaston, Birmingham, UK.
Pacing Clin Electrophysiol. 2012 Dec;35(12):1528-36. doi: 10.1111/j.1540-8159.2012.03490.x. Epub 2012 Aug 16.
Contemporary devices include sophisticated algorithms specifically designed to minimize ventricular pacing, with the intention of limiting the patient's exposure to potentially deleterious effects of right ventricular pacing. The added complexity and adverse effects (some potentially life-threatening) associated with the use of these algorithms are often under-appreciated. The operational features, efficacy, and the potential adverse effects associated with one of these algorithms to minimize ventricular pacing-the Managed Ventricular Pacing™ algorithm-are reviewed to guide the appropriate prescription of this therapy.
当代设备包括专门设计用于尽量减少心室起搏的复杂算法，目的是限制患者暴露于右心室起搏的潜在有害影响。与使用这些算法相关的额外复杂性和不良影响（有些可能危及生命）往往未得到充分认识。本文回顾了其中一种尽量减少心室起搏的算法——“可控心室起搏™”算法的操作特性、疗效及潜在不良影响，以指导该治疗方法的合理应用。
