Jordaens L J, Palmer A, Clement D L
Department of Cardiology, University Hospital, Ghent, Belgium.
Acta Cardiol. 1989;44(5):407-10.
The recent improvements in technology of cardiac pacing are often responsible for difficult electrocardiograms at follow-up (Gladstone et al., 1987). Therefore, it seems an advantage that most modern pacemakers include diagnostic software functions to explain the pacing behaviour (event markers, intracardiac electrograms...). In this case report an electrocardiogram, showing pacing dysfunction of a physiologic pacemaker with rate response is presented. It was possible to understand what was happening without electrograms, but confirmation of our interpretation of the pacing behaviour was only possible with telemetric data.
心脏起搏技术最近的改进常常导致随访时心电图解读困难（Gladstone等人，1987年）。因此，大多数现代起搏器具备诊断软件功能以解释起搏行为（事件标记、心内心电图……）似乎是一个优势。在本病例报告中，展示了一份显示具有频率应答功能的生理性起搏器起搏功能障碍的心电图。即使没有心内心电图也有可能了解发生了什么，但只有通过遥测数据才能证实我们对起搏行为的解读。
