Cooper J P, Jayawickreme S R, Swanton R H
Department of Cardiology, UCL Hospitals.
Br Heart J. 1995 Feb;73(2):169-72. doi: 10.1136/hrt.73.2.169.
To assess the incidence and complications of permanent pacing in patients who undergo tricuspid valve replacement.
A retrospective study of records of patients who had a tricuspid valve replacement between 1978 and 1993 at the Middlesex hospital.
45 patients with tricuspid valve replacements were followed up for a total of 104 patient years. Ten patients (22%) required permanent pacing, five with epicardial leads and five with endocardial. Endocardial leads had significantly lower initial implantation thresholds and were associated with fewer complications.
Patients undergoing tricuspid valve replacement frequently require permanent pacing. Endocardial or epicardial lead insertion should be considered at the time of tricuspid valve replacement.
评估接受三尖瓣置换术患者永久性起搏的发生率及并发症。
对1978年至1993年间在米德尔塞克斯医院接受三尖瓣置换术患者的记录进行回顾性研究。
45例接受三尖瓣置换术的患者共随访了104患者年。10例患者（22%）需要永久性起搏，5例使用心外膜导联，5例使用心内膜导联。心内膜导联的初始植入阈值显著更低，且并发症更少。
接受三尖瓣置换术的患者经常需要永久性起搏。在进行三尖瓣置换术时应考虑插入心内膜或心外膜导联。
