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[肌肉电位对心脏起搏器的抑制与触发]

[Inhibition and triggering of heart pacemakers by muscle potentials].

作者信息

Jost M, Schelker D, Steinmann E, Hoffmann A, Burkart F

出版信息

Schweiz Med Wochenschr. 1982 Nov 6;112(45):1588-91.

PMID:7156953
Abstract

The unipolar pulse generator systems were tested in 220 patients (96 VVIM, 97 VVIO, 27 physiological systems) to determine the incidence of sensing interference with muscle potentials. 23% exhibited oversensing, with a sex distribution of 32% for males and 15% for females. The interference was observed more often in VVIM pacemakers at nominal setting (35%) than in VVIO pacemakers (11%). In DDD pacemakers both inhibition and triggering of ventricular stimulation was observed. Among the 23 patients with persisting syncope or dizziness after implantation of the pacemaker, the symptoms were observed during physical activity only in 5. In these 5 the underlying arrhythmia was tachycardia in 3 and inhibition of the pacemaker by muscle potentials in only one patient.

摘要

对220例患者(96例VVIM型、97例VVIO型、27例生理型系统)的单极脉冲发生器系统进行了测试,以确定感知肌肉电位干扰的发生率。23%的患者出现感知过度,其中男性占32%,女性占15%。在标称设置下,VVIM起搏器中出现干扰的情况(35%)比VVIO起搏器(11%)更常见。在DDD起搏器中,观察到心室刺激的抑制和触发。在植入起搏器后仍有持续晕厥或头晕的23例患者中,仅5例在体力活动期间出现症状。在这5例患者中,3例潜在心律失常为心动过速,仅1例患者是肌肉电位抑制起搏器。

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1
[Inhibition and triggering of heart pacemakers by muscle potentials].[肌肉电位对心脏起搏器的抑制与触发]
Schweiz Med Wochenschr. 1982 Nov 6;112(45):1588-91.
2
[Functional disorders of chamber demand (VVI) and sequential AV (DDD) pacemakers caused by muscle potentials].
Dtsch Med Wochenschr. 1985 Aug 16;110(33):1245-8. doi: 10.1055/s-2008-1068990.
3
Interference with function of unipolar pacemaker due to muscle potentials.肌肉电位对单极起搏器功能的干扰。
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[Transient pacemaker dysfunction and spontaneous arrhythmias in symptomatic and asymptomatic patients with ventricular demand pacemakers].[有症状和无症状心室按需起搏器患者的短暂起搏器功能障碍与自发性心律失常]
Z Kardiol. 1996 Apr;85(4):237-47.
5
The clinical incidence and significance of myopotential sensing with unipolar pacemakers.单极起搏器肌电位感知的临床发生率及意义。
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Myopotential interference with a unipolar VDD pacemaker presenting with tachycardia and transient ventricular asystole.肌电位干扰单极VDD起搏器,表现为心动过速和短暂心室停搏。
Kaohsiung J Med Sci. 2002 Dec;18(12):632-5.
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[Suppression of R-wave-blocked pacemakers by muscle action potentials (author's transl)].肌肉动作电位对R波阻滞型起搏器的抑制作用(作者译)
Thoraxchir Vask Chir. 1974 Feb;22(1):46-52. doi: 10.1055/s-0028-1102737.
8
Prevention of myopotential inhibition of unipolar QRS-inhibited demand pacemakers.预防单极QRS抑制型按需起搏器的肌电位抑制
Jpn J Surg. 1983 Nov;13(6):470-9. doi: 10.1007/BF02469489.
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Unipolar sensing abnormalities: incidence and clinical significance of skeletal muscle interference and undersensing in 228 patients.单极感知异常:228例患者骨骼肌干扰和感知不足的发生率及临床意义
Pacing Clin Electrophysiol. 1982 Jan;5(1):10-9. doi: 10.1111/j.1540-8159.1982.tb02185.x.
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[Recurrent syncope in patients with sick sinus syndrome carrying a permanent pacemaker].携带永久性起搏器的病态窦房结综合征患者的反复晕厥
Rev Esp Cardiol. 1996 Feb;49(2):97-103.