Robles González L, Hernández y Hernández H, Velázquez Granados S, Cruz Fernández H, Alvarado Molina M, Hernández Martínez P, Bojorges Bueno R
Arch Inst Cardiol Mex. 1982 Sep-Oct;52(5):411-7.
We report a 15 year experience in the attention of patients with definitive pacemakers. This study includes 200 patients treated from 1964 to 1978, with an age range from 15 to 102 years, who required 329 generators. The predominant cardiopathy was atheroesclerotic (172 cases). We analyze the associated diseases in which hypertension was prominent in 30% of these cases. The most frequent rhythm alteration was atrioventricular block in 72% of the cases, and trifascicular block in 16%. We observed 35 intercurrent complications (17.5%), and the most frequent was infection of the generator bag. Mortality in these patients averaged 11%, being strictly imputable to the pacemaker in only 2%. Eighty patients needed generator change and we report a case who required up to six changes. The implantation of permanent pacemakers for treatment of patients with severe arrhythmias is considered at present secure and effective.
我们报告了15年来对永久性起搏器患者的治疗经验。本研究纳入了1964年至1978年间接受治疗的200例患者，年龄在15岁至102岁之间，共需要329台起搏器。主要心脏病为动脉粥样硬化性（172例）。我们分析了相关疾病，其中30%的病例以高血压最为突出。最常见的节律改变是房室传导阻滞，占72%的病例，三分支阻滞占16%。我们观察到35例并发并发症（17.5%），最常见的是起搏器囊袋感染。这些患者的死亡率平均为11%，仅2%的死亡严格归因于起搏器。80例患者需要更换起搏器，我们报告了1例需要更换多达6次的病例。目前认为植入永久性起搏器治疗严重心律失常患者是安全有效的。
