Johnson A D, Laiken S L, Engler R L
Am J Med. 1978 Jul;65(1):75-9. doi: 10.1016/0002-9343(78)90695-2.
Ventriculoatrial conduction complicating ventricular pacing in a patient with ischemic heart disease led to severe clinical disability and hemodynamic compromise. Data obtained at cardiac catheterization documented that ventriculoatrial conduction of the patients' paced beats led to inadequate left ventricular filling pressures, pulmonary congestion and depressed cardiac output. This complication of ventricular pacing can be suspected at bedside examination and emphasizes the importance of considering the possible hemodynamic effects of ventricular pacing when long-term pacemaker therapy is contemplated.
一名缺血性心脏病患者在心室起搏时并发心室心房传导，导致严重的临床功能障碍和血流动力学损害。心导管检查获得的数据表明，患者起搏搏动的心室心房传导导致左心室充盈压不足、肺充血和心输出量降低。这种心室起搏并发症在床边检查时即可怀疑，并强调了在考虑长期起搏器治疗时，应考虑心室起搏可能产生的血流动力学影响的重要性。
