窦房结疾病（病态窦房结综合征）的生存率
Survival in sinoatrial disorder (sick-sinus syndrome).
作者信息
Shaw D B, Holman R R, Gowers J I
出版信息
Br Med J. 1980 Jan 19;280(6208):139-41. doi: 10.1136/bmj.280.6208.139.
Abstract
A total of 381 patients with established (156) or potential (225) sinoatrial dysfunction were included in a 10-year prospective survey to determine the course of the disease and the benefits of pacing. With the exclusion of nine patients who were lost to follow-up, 61 were fitted with pacemakers. The overall survival of patients with established and potential dysfunction was similar and apparently indistinguishable from that of the normal population. Pacemaker implantation had little discernible effect on mortality though it reduced some incapacitating symptoms. These findings suggest that sinoatrial dysfunction is a relatively benign condition. Hence pacing should probably not be adopted as a routing measure but be reserved for patients with troublesome symptoms.
摘要
共有381例确诊（156例）或疑似（225例）窦房结功能障碍患者纳入了一项为期10年的前瞻性研究，以确定该疾病的病程及起搏治疗的益处。排除9例失访患者后，61例患者植入了起搏器。确诊和疑似功能障碍患者的总体生存率相似，且与正常人群明显无异。起搏器植入对死亡率几乎没有明显影响，但减轻了一些失能症状。这些发现表明，窦房结功能障碍是一种相对良性的疾病。因此，起搏治疗可能不应作为常规措施采用，而应保留给有严重症状的患者。
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本文引用的文献
1
Maximum utilization of the life table method in analyzing survival.在分析生存情况时最大限度地利用生命表法。
J Chronic Dis. 1958 Dec;8(6):699-712. doi: 10.1016/0021-9681(58)90126-7.
2
Prevalence and morbidity of heart block in Devon.德文郡心脏传导阻滞的患病率和发病率。
Br Med J. 1970 Jan 17;1(5689):144-7. doi: 10.1136/bmj.1.5689.144.
3
Sinus bradycardia.窦性心动过缓
Br Heart J. 1971 Sep;33(5):742-9. doi: 10.1136/hrt.33.5.742.
4
The sick sinus syndrome.
Circulation. 1973 Mar;47(3):635-41. doi: 10.1161/01.cir.47.3.635.
5
Prognosis of patients permanently paced for sick sinus syndrome.病态窦房结综合征患者永久起搏的预后。
Arch Intern Med. 1976 Apr;136(4):406-8.
6
Treatment of sinoatrial syndrome with permanent cardiac pacing in 90 patients.90例患者永久性心脏起搏治疗窦房结综合征
Acta Med Scand. 1975 Nov;198(5):341-7. doi: 10.1111/j.0954-6820.1975.tb19555.x.
7
Permanent pacing in disorders of sinus node function.
Am Heart J. 1975 May;89(5):579-85. doi: 10.1016/0002-8703(75)90502-5.
8
The sick sinus syndrome: natural history of dysfunction of the sinoatrial node.病态窦房结综合征：窦房结功能障碍的自然病程。
Chest. 1977 Nov;72(5):628-34. doi: 10.1378/chest.72.5.628.
9
The sick sinus syndrome: its status after ten years.病态窦房结综合征：十年后的现状。
Chest. 1977 Nov;72(5):554-5. doi: 10.1378/chest.72.5.554.
10
Factors influencing survival of patients with permanent cardiac pacemakers.影响永久性心脏起搏器患者生存的因素。
Ann Surg. 1977 Jan;185(1):122-7. doi: 10.1097/00000658-197701000-00020.
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