Meriggi A, Bandera L, Puricelli C, Porreca L, Bresciani L, Bottari G
G Ital Cardiol. 1978;8 Suppl 1:55-62.
Cardiac pacing by means of temporary wires inserted during open heart surgery is an established useful adjunct to post-operative care. Optimal rate can be imposed to the heart with transiently depressed function, arrhythmias can be suppressed by overdriving and atrioventricular synchronization sometimes can be reestablished, with a resulting improvement of cardiac output. We routinely insert wires on the right ventricle, and on the right atrium wherever excitable. Wires have been inserted in 383 consecutive patients, significantly contributing to the control of bradiarrhythmias, the suppression of PVCs, and the improvement of low cardiac output states.
在心脏直视手术期间通过插入临时导线进行心脏起搏是术后护理中一种既定的有用辅助手段。对于功能暂时降低的心脏可以设定最佳心率,通过超速驱动可抑制心律失常,有时还能重建房室同步,从而改善心输出量。我们常规在右心室以及任何可兴奋的右心房插入导线。已连续为383例患者插入导线,这对控制缓慢性心律失常、抑制室性早搏以及改善低心输出量状态有显著作用。