Grigorov S S, Votchal F B, Kostyleva O V
Kardiologiia. 1987 Nov;27(11):26-9.
Twenty years' experience with continuous endocardial stimulation of the heart is summed up. The bulk of the reviewed data falls to the period of 1980 through 1985, when 1776 primary implantations were performed, whereas more than 3,000 implantations have been performed in the past 6 years. Opinions are voiced on many aspects related to endocardial stimulation. Endocardial application of electrodes is believed to be the principal method, while myocardial stimulation should only be done simultaneously with heart surgery. Electrode application via puncture is discussed with special reference to its advantages (possible application of two electrodes at once, small cosmetic defect) and possible side effects. The results obtained with a borer electrode, designed by the authors, are reported (130 cases). Complications associated with developing rhythm competition are discussed. It is proposed that the manufacture of asynchronous pacemakers be limited considerably, and that they should mostly be implanted in cases of clinically manifest myopotential inhibition.
总结了20年心脏持续心内膜刺激的经验。回顾的数据大部分来自1980年至1985年期间，当时进行了1776例初次植入，而在过去6年中已进行了3000多例植入。对与心内膜刺激相关的许多方面发表了意见。电极的心内膜应用被认为是主要方法，而心肌刺激仅应在心脏手术时同时进行。特别参考其优点（可同时应用两个电极、美容缺陷小）和可能的副作用讨论了经穿刺的电极应用。报告了作者设计的钻孔电极所获得的结果（130例）。讨论了与发生节律竞争相关的并发症。建议大幅限制非同步起搏器的制造，并且它们大多应植入临床表现为肌电位抑制的病例中。
