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高度房室传导阻滞早产儿的起搏器治疗

Pacemaker therapy in premature children with high degree AV block.

作者信息

Nowak B, Kampmann C, Schmid F X, Przibille O, Wippermann F, Himmrich E, Meyer J

机构信息

II. Medical Clinic, Johannes Gutenberg University, Mainz, Germany.

出版信息

Pacing Clin Electrophysiol. 1998 Dec;21(12):2695-8. doi: 10.1111/j.1540-8159.1998.tb00052.x.

DOI:10.1111/j.1540-8159.1998.tb00052.x
PMID:9894666
Abstract

The smallest pacemaker pulse generator and a steroid-eluting bipolar epicardial lead were implanted in two premature children with symptomatic AV block. Stable capture threshold and high amplitude evoked response electrogram resulted in normal function of the pacemaker Autocapture algorithm, which adjusts output 0.3 V above the measured capture threshold. Autocapture had previously been used only with endocardial leads. Longer-term observation is required.

摘要

最小的起搏器脉冲发生器和一个类固醇洗脱双极心外膜导线被植入两名有症状性房室传导阻滞的早产儿体内。稳定的捕捉阈值和高振幅诱发反应电图使起搏器自动捕捉算法功能正常,该算法将输出调整到比测量的捕捉阈值高0.3V。自动捕捉此前仅用于心内膜导线。需要进行长期观察。

相似文献

1
Pacemaker therapy in premature children with high degree AV block.高度房室传导阻滞早产儿的起搏器治疗
Pacing Clin Electrophysiol. 1998 Dec;21(12):2695-8. doi: 10.1111/j.1540-8159.1998.tb00052.x.
2
Successful implantation of a bipolar epicardial lead and an autocapture pacemaker in a low-body-weight infant with congenital atrioventricular block: report of a case.在一名低体重先天性房室传导阻滞婴儿中成功植入双极心外膜导线和自动捕获起搏器:病例报告
Surg Today. 2000;30(6):555-7. doi: 10.1007/s005950070128.
3
Medium-term follow-up and modes of failure following epicardial pacemaker implantation in young children.小儿心外膜起搏器植入后的中期随访及失败模式
Europace. 2007 Feb;9(2):94-7. doi: 10.1093/europace/eul172. Epub 2007 Jan 16.
4
[Epicardial atrial pacing using an active fixation bipolar endocardial lead in children].[儿童使用主动固定双极心内膜导线进行心外膜心房起搏]
Kyobu Geka. 2007 Feb;60(2):117-20.
5
A new pacemaker algorithm for continuous capture verification and automatic threshold determination: elimination of pacemaker afterpotential utilizing a triphasic charge balancing system.一种用于连续夺获验证和自动阈值测定的新型起搏器算法:利用三相电荷平衡系统消除起搏器后电位。
Pacing Clin Electrophysiol. 1992 Feb;15(2):171-8. doi: 10.1111/j.1540-8159.1992.tb03061.x.
6
Low-energy epicardial pacing in children: the benefit of autocapture.儿童低能量心外膜起搏:自动夺获的益处
Ann Thorac Surg. 1999 Oct;68(4):1380-3. doi: 10.1016/s0003-4975(99)00695-5.
7
Italian experience with AutoCapture in conjunction with a membrane lead. Pacesetter Automatic Control of Energy and Membrane Automatic Threshold Evaluation (Pacemate) Study Group.意大利使用自动捕捉与膜电极相结合的经验。起搏器能量自动控制与膜自动阈值评估(Pacemate)研究小组。
Pacing Clin Electrophysiol. 1996 Nov;19(11 Pt 2):1799-804. doi: 10.1111/j.1540-8159.1996.tb03228.x.
8
Emergency pacing and subsequent permanent pacemaker implantation in a premature infant of 1770 g with a follow-up of 6 years.对一名体重1770克的早产儿进行紧急起搏及随后的永久起搏器植入,随访6年。
Pediatr Cardiol. 2000 Sep-Oct;21(5):470-3. doi: 10.1007/s002460010112.
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Steroid-eluting epicardial pacing leads in pediatric patients: encouraging early results.小儿患者的类固醇洗脱心外膜起搏导线:早期结果令人鼓舞。
J Am Coll Cardiol. 1992 Aug;20(2):395-401. doi: 10.1016/0735-1097(92)90108-y.
10
Benefit of the steroid electrode.类固醇电极的益处。
Chest. 1987 Dec;92(6):1112-3. doi: 10.1378/chest.92.6.1112.

引用本文的文献

1
Automatic capture verification in pacemakers (autocapture)--utility and problems.起搏器中的自动夺获验证(自动夺获)——效用与问题
Indian Pacing Electrophysiol J. 2004 Apr 1;4(2):73-8.
2
Failure of automatic capture verification in an epicardial pacemaker system.心外膜起搏器系统中自动捕获验证失败。
J Interv Card Electrophysiol. 2005 Sep;13(3):235-7. doi: 10.1007/s10840-005-2973-3.
3
Fatal complete atrioventricular block as a complication of bacterial sepsis in a premature newborn.
Pediatr Cardiol. 2005 Sep-Oct;26(5):677-9. doi: 10.1007/s00246-005-0854-2.
4
Threshold tracking pacing based on beat by beat evoked response detection: clinical benefits and potential problems.基于逐搏诱发反应检测的阈值跟踪起搏:临床益处及潜在问题。
J Interv Card Electrophysiol. 2000 Oct;4(3):511-22. doi: 10.1023/a:1009864615632.