Kriwisky M, Goldstein J, Gotsman M S
Department of Cardiology, Hadassah University Hospital, Jerusalem, Israel.
Chest. 1987 Dec;92(6):1112-3. doi: 10.1378/chest.92.6.1112.
A permanent pacemaker was implanted in an 80-year-old patient with complete heart block. The electrode had to be changed six times (endocardial, five and epicardial, one) due to a progressive rise in threshold with recurrent exit block. A porous, steroid eluting, endocardial electrode was implanted and has given 27 months of excellent service. This lead may be ideal for patients who have a progressive increase in threshold after repeated electrode implantation.
一名80岁的完全性心脏传导阻滞患者植入了永久性起搏器。由于阈值随着反复的传出阻滞逐渐升高，电极不得不更换了6次（心内膜电极5次，心外膜电极1次）。植入了一个多孔、可释放类固醇的心内膜电极，其已提供了27个月的优质服务。对于在反复植入电极后阈值逐渐升高的患者，这种导线可能是理想的选择。
