Cobler J L, Akiyama T, Murphy G W
University of Rochester School of Medicine, Department of Medicine, New York.
J Am Geriatr Soc. 1989 Aug;37(8):753-6. doi: 10.1111/j.1532-5415.1989.tb02239.x.
We have described six centenarians who have benefited from permanent pacemakers. In all of these patients, their initial symptoms of syncope, presyncope, dyspnea, and transient cerebral ischemic attacks resolved promptly after pacemaker implantation. In most of these patients quality of life, as measured by lifestyle and independence, improved after pacemaker implantation. None of these patients exhibited evidence of ischemic heart disease or cardiac failure. Because of increasing longevity and age-related degenerative and destructive changes in the conduction system and the sinus node, we expect that the number of patients requiring pacemakers in this age group will continue to grow. Ischemic heart disease as an underlying pathology necessitating pacemaker implantation appears to be rare in this age group.
我们描述了六位受益于永久性心脏起搏器的百岁老人。在所有这些患者中，他们最初的晕厥、先兆晕厥、呼吸困难和短暂性脑缺血发作症状在起搏器植入后迅速得到缓解。在大多数这些患者中，以生活方式和独立性衡量的生活质量在起搏器植入后有所改善。这些患者均未表现出缺血性心脏病或心力衰竭的迹象。由于寿命延长以及传导系统和窦房结与年龄相关的退行性和破坏性变化，我们预计这个年龄组中需要起搏器的患者数量将继续增加。在这个年龄组中，作为需要植入起搏器的潜在病理的缺血性心脏病似乎很少见。
