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[与持续性心脏起搏相关的心律失常]

[Arrhythmia associated with continuous cardiac pacing].

作者信息

Volkolakov Ia V, Karpov Iu G, Latsis R Ia, Ledus V A, Baltsere I V

出版信息

Kardiologiia. 1988 Feb;28(2):24-8.

PMID:3373946
Abstract

The incidence and diagnostic criteria of heart rhythm disorders associated with a permanent pacemaker were assessed on the basis of data, obtained at a single electrocardiography in 1165 patients and continuous ECG recording in 49 patients. A high (94.4%) incidence of the spontaneous and induced rhythm competition at asynchronous stimulation has been demonstrated, indicating that the use of this stimulation regimen should be abandoned. The inhibition of a unipolar pacemaker by myopotentials at regular physical activity is rather uncommon and has no clinical value. VVI stimulation is often (45.2%) associated with variants of escape-capture bigeminy.

摘要

基于在1165例患者单次心电图检查及49例患者连续心电图记录所获得的数据,对与永久性起搏器相关的心律失常的发生率和诊断标准进行了评估。已证实异步刺激时自发性和诱发性节律竞争的发生率很高(94.4%),这表明应放弃使用这种刺激方案。在常规体力活动时肌电位对单极起搏器的抑制相当少见且无临床意义。VVI刺激常(45.2%)与逸搏-夺获二联律的变异型相关。

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