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[永久性起搏器植入。适应证与结果]

[Permanent pacemaker implantation. Indications and results].

作者信息

Gutiérrez A, Iturralde P, Gutiérrez Fuster E, Martínez Ríos N, Martínez Ríos M A, Romero L, Hernández D, González Hermosillo J A

机构信息

Servicio de Electrocardiografia del Instituto Nacional de Cardiología, Ignacio Chávez, México D.F.

出版信息

Arch Inst Cardiol Mex. 1990 Jan-Feb;60(1):59-64.

PMID:2344227
Abstract

Clinical, laboratory and electrocardiographic data from 608 patients with permanent pacemakers implanted over a period of 8 years, were evaluated retrospectively. The number of implants was greater in males (56.5%) and in patients over 60 years of age (77.5%). Atherosclerosis was the most common disease found in this group (50%). Syncope occurred in 96.2% of the cases; and complete AV block was the most common electrocardiographic alteration (50.5%). Electrode displacement occurred in 32 patients (5.2%) and was the most commonly found early complication. Among the late complications, 10.3% of the patients had infections in the area of the generator. The total mortality was 7.7% due to the heart disease rather than pacemaker-related complication.

摘要

回顾性评估了8年间植入永久性起搏器的608例患者的临床、实验室及心电图数据。男性患者(56.5%)及60岁以上患者(77.5%)的植入数量更多。动脉粥样硬化是该组中最常见的疾病(50%)。96.2%的病例发生了晕厥;完全性房室传导阻滞是最常见的心电图改变(50.5%)。32例患者(5.2%)发生电极移位,这是最常见的早期并发症。在晚期并发症中,10.3%的患者发生器部位发生感染。因心脏病而非起搏器相关并发症导致的总死亡率为7.7%。

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