Ruffy R, Lal R, Kouchoukos N T, Kim S S
J Am Coll Cardiol. 1986 Apr;7(4):933-7. doi: 10.1016/s0735-1097(86)80359-x.
A 67 year old man with recurrent hypotensive ventricular tachycardia, amiodarone-induced bradyarrhythmias and severe cardiac dysfunction underwent simultaneous implantation of an automatic cardioverter/defibrillator and bipolar atrioventricular (AV) pacemaker. The pacing electrodes were placed epicardially near the right atrial appendage and on the lateral right ventricular wall. The rate detector of the automatic defibrillator was placed epicardially on the posterobasal left ventricular wall. Effective bipolar AV pacing produced no false counting of the heart rate by the automatic cardioverter/defibrillator, and ventricular tachycardia properly inhibited the pacemaker. Long-term follow-up study confirmed the safety of this treatment. With proper precautions, bipolar AV pacing can be safely combined with an automatic cardioverter/defibrillator.
一名67岁男性，患有复发性低血压性室性心动过速、胺碘酮诱发的缓慢性心律失常和严重的心功能不全，同时植入了自动心脏复律除颤器和双极房室（AV）起搏器。起搏电极经心外膜放置在右心耳附近和右心室侧壁。自动除颤器的心率探测器经心外膜放置在左心室后壁基底部。有效的双极房室起搏未导致自动心脏复律除颤器对心率的误计数，室性心动过速能适当抑制起搏器。长期随访研究证实了这种治疗方法的安全性。采取适当的预防措施后，双极房室起搏可安全地与自动心脏复律除颤器联合使用。
