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Failure of Quintech Tx pacemaker caused by loss of stimulus-T interval shortening during exercise.运动期间刺激 -T间期缩短导致Quintech Tx起搏器功能失效。
Br Heart J. 1986 Oct;56(4):391-3. doi: 10.1136/hrt.56.4.391.
2
The relationship between QT interval and heart rate during physiological exercise and pacing.生理运动和起搏过程中QT间期与心率的关系。
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本文引用的文献

1
Relation between QT interval and heart rate. New design of physiologically adaptive cardiac pacemaker.QT间期与心率的关系。生理性自适应心脏起搏器的新设计。
Br Heart J. 1981 Jan;45(1):56-61. doi: 10.1136/hrt.45.1.56.
2
Reliability of the evoked response in determining the paced ventricular rate and performance of the QT or rate responsive (TX) pacemaker.诱发反应在确定心室起搏频率以及QT或频率应答型(TX)起搏器性能方面的可靠性。
Pacing Clin Electrophysiol. 1985 Sep;8(5):701-14. doi: 10.1111/j.1540-8159.1985.tb05883.x.

运动期间刺激 -T间期缩短导致Quintech Tx起搏器功能失效。

Failure of Quintech Tx pacemaker caused by loss of stimulus-T interval shortening during exercise.

作者信息

Fyfe T, Robinson J F

出版信息

Br Heart J. 1986 Oct;56(4):391-3. doi: 10.1136/hrt.56.4.391.

DOI:10.1136/hrt.56.4.391
PMID:3768220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1236878/
Abstract

A 74 year old man with a Quintech Tx pacemaker experienced a reduction in his exercise capacity because his heart rate failed to increase with effort. This was shown to be caused by the failure of the interval between the delivered stimulus and evoked T wave to decrease during effort where previously it had done so. Although the stimulus-T interval did not change during exercise, it did decrease in response to isoprenaline infusion and in response to pacing the heart at increasing rates. Catecholamine concentrations increased during exercise and the patient had normal thyroid function.

摘要

一名植入Quintech Tx起搏器的74岁男性,其运动能力下降,原因是心率无法随运动而增加。研究表明,这是由于运动时起搏脉冲与诱发T波之间的间期未能像之前那样缩短。尽管运动期间刺激-T间期未改变,但静脉输注异丙肾上腺素及以递增频率起搏心脏时,该间期缩短。运动期间儿茶酚胺浓度升高,且患者甲状腺功能正常。