Glikson M, Hayes D L
Mayo Clinic, Rochester, Minnesota.
Curr Opin Cardiol. 1994 Jan;9(1):65-74. doi: 10.1097/00001573-199401000-00008.
This article reviews recent studies, chapters, and review articles describing advances in cardiac pacing. Initially we discuss expanding and controversial pacing indications, including neurocardiogenic syncope and hypertrophic as well as dilated cardiomyopathies. Recent contributions to the understanding of factors influencing pacing mode selection are then discussed, including survival and atrial fibrillation in the various modes, the hemodynamic importance of atrioventricular synchrony and adaptive atrioventricular intervals, the importance of rate adaptation, the development of pacemaker syndrome, pacemaker response to the development of atrial arrhythmias, and special pacing modes such as VDD and AAIR. Finally, recent advances in rate-adaptive sensors and algorithms are reviewed, including preliminary results with dual sensors.
本文回顾了近期描述心脏起搏进展的研究、章节及综述文章。首先，我们讨论不断扩展且存在争议的起搏适应证，包括神经心源性晕厥、肥厚型和扩张型心肌病。接着讨论近期在影响起搏模式选择因素理解方面的贡献，包括各种模式下的生存率和心房颤动、房室同步及适应性房室间期的血流动力学重要性、频率适应性的重要性、起搏器综合征的发生、起搏器对房性心律失常发生的反应，以及特殊起搏模式如VDD和AAIR。最后，综述了频率适应性传感器和算法的近期进展，包括双传感器的初步结果。
