Godden D J, MacCulloch M S, Sandhu P S, Kerr F
Department of Medicine, University of Aberdeen.
Br Heart J. 1987 Nov;58(5):495-8. doi: 10.1136/hrt.58.5.495.
The establishment of a local permanent pacemaker service in a district general hospital increased the pacemaker implantation rate from 22 per million population per year to 152 per million population per year over the first 6 years of the service. Forty eight per cent of patients were referred by general practitioners and 52% by hospital specialists. Single chamber demand pacing (VVI) was used exclusively. Indications for pacing and complications were comparable to those of specialist cardiac centres. Management of symptomatic bradycardia by cardiac pacing in the United Kingdom may be facilitated by further development of small pacing centres.
在一家区综合医院建立当地永久性起搏器服务后，在该服务开展的头6年里，起搏器植入率从每年每百万人口22例增至每年每百万人口152例。48%的患者由全科医生转诊，52%由医院专科医生转诊。仅使用单腔按需起搏（VVI）。起搏适应证和并发症与心脏专科中心的情况相当。英国通过进一步发展小型起搏中心，可能会促进对有症状心动过缓进行心脏起搏治疗。
