Sweesy M W, Erickson S L, Crago J A, Castor K N, Batey R L, Forney R C
Robert L. Batey Cardiology Center, Pacemaker Systems Technology School, Inc., Bradenton, Florida.
Pacing Clin Electrophysiol. 1994 Nov;17(11 Pt 2):2001-3. doi: 10.1111/j.1540-8159.1994.tb03788.x.
A study was undertaken to determine the most effective method of pacemaker follow-up in terms of the total number of complications detected and yield per follow-up in single and dual chamber pacing systems. The analysis involved 9,786 patient records from 635 patients. The records were reviewed with respect to method of follow-up, number of chambers paced, and complications detected. Complications included: oversensing, undersensing, noncapture, pocket and diaphragmatic stimulation, pacemaker mediated tachycardia, crosstalk, pulse generator malfunction, lead malfunction, infection/erosion, premature end of service, exit block, and other miscellaneous problems. Eight thousand two hundred eighty-eight of the 9,786 follow-ups were performed in the office while 1,498 were transtelephonic. Single chamber pacing systems were implanted in 329 patients and 306 were dual chamber systems. A total of 599 complications were detected. Analysis yielded a per patient complication rate of 5.1% (single chamber) and 8.4% (dual chamber) for in-office follow-up. This compared to a transtelephonic follow-up per patient complication rate of only 0.3% (single chamber) and 1.0% (dual chamber). In-office pacemaker follow-up is significantly more effective (P < 0.001) than transtelephonic follow-up in detecting both single and dual chamber pacemaker system complications.
开展了一项研究，以确定就检测到的并发症总数以及单腔和双腔起搏系统每次随访的产出而言，最有效的起搏器随访方法。该分析涉及来自635名患者的9786份患者记录。对记录进行了关于随访方法、起搏腔室数量和检测到的并发症的审查。并发症包括：感知过度、感知不足、夺获失败、囊袋和膈肌刺激、起搏器介导的心动过速、串扰、脉冲发生器故障、导线故障、感染/侵蚀、提前结束服务、出口阻滞以及其他杂项问题。9786次随访中有8288次在门诊进行，1498次通过电话传输进行。329名患者植入了单腔起搏系统，306名患者植入了双腔系统。共检测到599例并发症。分析得出，门诊随访时单腔患者的并发症发生率为5.1%，双腔患者为8.4%。相比之下，电话传输随访时单腔患者的并发症发生率仅为0.3%，双腔患者为1.0%。在检测单腔和双腔起搏器系统并发症方面，门诊起搏器随访比电话传输随访显著更有效（P < 0.001）。
