Letac B, Hubscher C, Toussaint C, Cazor J L
Nouv Presse Med. 1978 Sep 9;7(29):2545-8.
In twenty patients with advanced heart disease with severe cardiac failure and the presence of conduction disturbances before digitalis therapy, but in whom such disturbances were worsened or revealed by the treatment, it was necessary to insert a permanent pacemaker in order to make effective long term digitalisation possible without the risk of excessive bradycardia or pauses due to worsening of atrioventricular block. Six patients died within a period of 9 days to 34 months after insertion of the pacemaker, two were lost from sight, and the other 12 were followed-up regularly for an average period of 20 months, their condition remaining stationary and, in general, satisfactory.
在20例晚期心脏病患者中，这些患者在洋地黄治疗前存在严重心力衰竭及传导障碍，但治疗后此类障碍加重或被发现，为了在无因房室传导阻滞恶化导致过度心动过缓或停搏风险的情况下实现有效的长期洋地黄化，有必要植入永久性起搏器。6例患者在植入起搏器后9天至34个月内死亡，2例失访，其他12例患者平均接受了20个月的定期随访，他们的病情保持稳定，总体情况令人满意。
