Amikam S, Abramovici H, Brandes J M, Peleg H, Riss E
Int Surg. 1981 Oct-Dec;66(4):369-71.
Two young females, who had implanted pacemakers, and experienced an uneventful course of pregnancy and delivery are described. We suggest the chest wall under the breasts as the site of choice for the implanted unit in young females who might expect pregnancy. If this site is used, any restriction of the skin above the unit should be prevented as the abdomen and breasts increase in size. The problem of a fixed heart rate during the period of an increasing work load on the heart in pregnancy is discussed, and the use in these patients of an adjustable-rate pulse-generators is suggested.
本文描述了两名植入起搏器且妊娠和分娩过程顺利的年轻女性。我们建议，对于可能怀孕的年轻女性，乳房下方的胸壁是植入装置的首选部位。如果使用该部位，随着腹部和乳房增大，应防止装置上方皮肤受到任何限制。文中讨论了妊娠期间心脏工作负荷增加时心率固定的问题，并建议在这些患者中使用可调节速率的脉冲发生器。
