Merx W, Effert S, Irnich W, Meiselbach U
Dtsch Med Wochenschr. 1978 Feb 17;103(7):302-5. doi: 10.1055/s-0028-1104426.
Follow-up investigation over 12--84 months (mean 30 months) of 86 patients with the primary diagnosis of permanent total atrioventricular block revealed that spontaneous rhythm could be demonstrated in all but 17 patients. A-V conduction was re-established in 13, but in most of them it was on the basis of ventricular ectopic beats. These findings prove that in the described type of patient spontaneous rhythm after pacemaker implantation is common. Therefore, fixed-rate pacemakers are not indicated in these patients.
对86例初步诊断为永久性完全性房室传导阻滞的患者进行了12 - 84个月(平均30个月)的随访调查,结果显示,除17例患者外,其余患者均能表现出自发性心律。13例患者恢复了房室传导,但其中大多数是基于室性早搏。这些发现证明,在所描述的这类患者中,起搏器植入后出现自发性心律很常见。因此,这些患者不适合使用固定频率起搏器。