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与心房触发心室起搏相关的心律失常的发生及意义

Occurrence and significance of arrhythmias associated with atrial-triggered ventricular pacing.

作者信息

Levander-Lindgren M, Pehrsson S K

出版信息

Pacing Clin Electrophysiol. 1984 Jul;7(4):628-39. doi: 10.1111/j.1540-8159.1984.tb05589.x.

DOI:10.1111/j.1540-8159.1984.tb05589.x
PMID:6205362
Abstract

A review of electrocardiograms from 85 patients with atrial-triggered ventricular pacing (VAT, VDD, DDD) showed that various disturbances of rhythm were relatively common, and that the effects of an arrhythmia could be aggravated by this type of pacing. In certain circumstances even potentially dangerous ventricular extrasystoles were induced by the pacemaker. Abnormal triggering, sometimes with regular sinus rhythm, could also induce tachycardia. Our observations provided indications for a pacemaker design that would avoid such disturbing effects. The best available pacer for atrial-triggered ventricular pacing is the programmable DDD type.

摘要

对85例采用心房触发心室起搏(VAT、VDD、DDD)患者的心电图回顾显示,各种节律紊乱相对常见,且这种起搏类型可能会加重心律失常的影响。在某些情况下,起搏器甚至会诱发潜在危险的室性期前收缩。异常触发,有时在窦性心律规则时,也可诱发心动过速。我们的观察结果为起搏器设计提供了避免此类干扰效应的依据。用于心房触发心室起搏的最佳现有起搏器是可编程DDD型。

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Heart. 1999 Jun;81(6):580-5. doi: 10.1136/hrt.81.6.580.