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病态窦房结综合征。50例病例研究。

The sick sinus syndrome. A study of 50 cases.

作者信息

Gould L, Reddy C V, Becker W H

出版信息

J Electrocardiol. 1978 Jan;11(1):11-4. doi: 10.1016/s0022-0736(78)80023-5.

Abstract

The long term prognosis was studied in 50 patients treated for the sick sinus syndrome with pacemaker insertion. The mean age of the patients was 71 years. There were 31 females and 19 males in the series. Nine patients (18%) died during the average follow-up period of 19 months. Dizzy and syncopal episodes were abolished in most patients with pacemaker therapy. However only two of the nine patients in congestive heart failure improved with the pacemaker. Thus the long term prognosis of patients with the sick sinus syndrome is poor despite pacemaker therapy. This is particularly true for the patient in chronic congestive heart failure who does not respond to the pacemaker treatment.

摘要

对50例因病态窦房结综合征接受起搏器植入治疗的患者进行了长期预后研究。患者的平均年龄为71岁。该系列中有31名女性和19名男性。在平均19个月的随访期内,9名患者(18%)死亡。大多数接受起搏器治疗的患者头晕和晕厥发作消失。然而,9名充血性心力衰竭患者中只有2名因起搏器治疗而病情改善。因此,尽管进行了起搏器治疗,病态窦房结综合征患者的长期预后仍然很差。对于慢性充血性心力衰竭且对起搏器治疗无反应的患者尤其如此。

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