中华心律失常学杂志
中華心律失常學雜誌
중화심률실상학잡지
CHINESE JOURNAL OF CARDIAC ARRHYTHMIAS
2013年
4期
291-293
,共3页
高运来%郁志明%张常莹%郑杰%李库林%吴小庆%王如兴
高運來%鬱誌明%張常瑩%鄭傑%李庫林%吳小慶%王如興
고운래%욱지명%장상형%정걸%리고림%오소경%왕여흥
起搏器%更换%心房颤动
起搏器%更換%心房顫動
기박기%경환%심방전동
Pacemaker%Replacement%Atrial fibrillation
目的 探讨起搏器更换时持续性心房颤动(PAF)的发生情况.方法 124例行起搏器更换的患者根据病因分为病态窦房结综合征(SSS)组及房室阻滞(AVB)组,根据起搏模式分为DDD(R)及VVI(R)组,分析PAF的发生情况.结果 平均更换时间为(8.2±2.5)年,PAF发生率为26.6％(33/124).SSS组61例行VVI(R)起搏,22例行DDD(R)起搏.前者更换时PAF占34.4％(21/61),后者更换时PAF占18.2％(4/22).VVI(R)起搏PAF发生率高于DDD(R)起搏(34.4％对18.2％,P＜0.05).AVB组30例行VVI(R)起搏,11例行DDD(R)起搏.前者更换时PAF占23.3％ (7/30),后者更换时PAF占9.1％(1/11).VVI(R)起搏PAF发生率高于DDD(R)起搏(23.3％对9.1％,P＜0.05).结论 起搏器更换时PAF常见.无论是SSS或者AVB患者DDD(R)起搏PAF发生率低于VVI(R)起搏.
目的 探討起搏器更換時持續性心房顫動(PAF)的髮生情況.方法 124例行起搏器更換的患者根據病因分為病態竇房結綜閤徵(SSS)組及房室阻滯(AVB)組,根據起搏模式分為DDD(R)及VVI(R)組,分析PAF的髮生情況.結果 平均更換時間為(8.2±2.5)年,PAF髮生率為26.6％(33/124).SSS組61例行VVI(R)起搏,22例行DDD(R)起搏.前者更換時PAF佔34.4％(21/61),後者更換時PAF佔18.2％(4/22).VVI(R)起搏PAF髮生率高于DDD(R)起搏(34.4％對18.2％,P＜0.05).AVB組30例行VVI(R)起搏,11例行DDD(R)起搏.前者更換時PAF佔23.3％ (7/30),後者更換時PAF佔9.1％(1/11).VVI(R)起搏PAF髮生率高于DDD(R)起搏(23.3％對9.1％,P＜0.05).結論 起搏器更換時PAF常見.無論是SSS或者AVB患者DDD(R)起搏PAF髮生率低于VVI(R)起搏.
목적 탐토기박기경환시지속성심방전동(PAF)적발생정황.방법 124례행기박기경환적환자근거병인분위병태두방결종합정(SSS)조급방실조체(AVB)조,근거기박모식분위DDD(R)급VVI(R)조,분석PAF적발생정황.결과 평균경환시간위(8.2±2.5)년,PAF발생솔위26.6％(33/124).SSS조61례행VVI(R)기박,22례행DDD(R)기박.전자경환시PAF점34.4％(21/61),후자경환시PAF점18.2％(4/22).VVI(R)기박PAF발생솔고우DDD(R)기박(34.4％대18.2％,P＜0.05).AVB조30례행VVI(R)기박,11례행DDD(R)기박.전자경환시PAF점23.3％ (7/30),후자경환시PAF점9.1％(1/11).VVI(R)기박PAF발생솔고우DDD(R)기박(23.3％대9.1％,P＜0.05).결론 기박기경환시PAF상견.무론시SSS혹자AVB환자DDD(R)기박PAF발생솔저우VVI(R)기박.
Objective To study prevalence of persistent atrial fibrillation(PAF) during pacemaker replacement.Methods One hundred and twenty-four patients scheduled to pacemaker replacement were divided into sick sinus syndrome (SSS) group and atrioventricular block (AVB) group receiving VVI (R) or DDD (R) pacing according to pacing mode.PAF during replacement was studied compared with last time implantation.Results The occurrence of PAF was 26.6％ (33/124) over (8.2± 2.5)years'follow-up.As to SSS group,the occurrence of PAF was 34.4％ (21/61) in patients with VVI (R) pacing and 18.2％ (4/22) in patients with DDD (R) pacing during pacemaker replacement,respectively.Patients with VVI (R) pacing had higher prevalence of PAF than that in patients with DDD(R) pacing (34.4％ vs 18.2％,P＜0.05).As to AVB group,the occurrence of PAF was 23.3％ (7/30)in patients with VVI (R) pacing and 9.1％ (1/11)in patients with DDD (R) pacing during replacement,respectively.Patients with VVI (R) pacing had higher prevalence of PAF than that in patients with DDD(R) pacing(23.3％ vs 9.1％,P＜0.05).Conclusion PAF was common during pacemaker replacement.Patients with VVI(R) pacing had higher prevalence of PAF during replacement than that in patients with DDD(R) pacing no matter what was the original cause of diseases.
