中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2015年
8期
607-611
,共5页
心房起搏比例%心房颤动负荷%心脏起搏器,人工%病窦综合征
心房起搏比例%心房顫動負荷%心髒起搏器,人工%病竇綜閤徵
심방기박비례%심방전동부하%심장기박기,인공%병두종합정
atrial pacing proportion%atrial fibrillation burden%pacemaker,artificial%sick sinus syndrome
目的：通过观察无心房颤动（房颤）病史的老年病态窦房结综合征（病窦）患者在双腔起搏器植入后房颤负荷的变化，探讨心房起搏比例对老年患者起搏器植入后房颤的影响。方法采用回顾性分析的研究方法。连续入选2006年1月至2012年1月在首都医科大学附属北京友谊医院心脏中心植入双腔起搏器的患者301例，进行常规随访（3.9±1.8）年，纳入最后统计的共283例患者。随访时读取起搏器内存储信息，记录心房早搏（房早）次数、最长房颤持续时间和房颤负荷；同时获取心房、心室起搏占总心搏的比例。评价心脏结构和功能。将心房起搏比例＞66%（66%为心房起搏比例中位数）设为高心房起搏比例组（141例），心房起搏比例≤66%设为低心房起搏比例组（142例）。结果与低心房起搏比例组相比，高心房起搏比例组患者房颤负荷（最长房颤持续时间和房颤负荷中位数）更低（P＜0.05）；且房早数量要少于低心房起搏比例组（P＜0.05）；但心室起搏比例在两组之间无明显差异（P＞0.05）。术前和术后两组患者的心脏结构和功能相比，差异无统计学意义（P＞0.05）。结论对于起搏器植入后的房颤易患人群，高心房起搏比例可减少房颤事件。
目的：通過觀察無心房顫動（房顫）病史的老年病態竇房結綜閤徵（病竇）患者在雙腔起搏器植入後房顫負荷的變化，探討心房起搏比例對老年患者起搏器植入後房顫的影響。方法採用迴顧性分析的研究方法。連續入選2006年1月至2012年1月在首都醫科大學附屬北京友誼醫院心髒中心植入雙腔起搏器的患者301例，進行常規隨訪（3.9±1.8）年，納入最後統計的共283例患者。隨訪時讀取起搏器內存儲信息，記錄心房早搏（房早）次數、最長房顫持續時間和房顫負荷；同時穫取心房、心室起搏佔總心搏的比例。評價心髒結構和功能。將心房起搏比例＞66%（66%為心房起搏比例中位數）設為高心房起搏比例組（141例），心房起搏比例≤66%設為低心房起搏比例組（142例）。結果與低心房起搏比例組相比，高心房起搏比例組患者房顫負荷（最長房顫持續時間和房顫負荷中位數）更低（P＜0.05）；且房早數量要少于低心房起搏比例組（P＜0.05）；但心室起搏比例在兩組之間無明顯差異（P＞0.05）。術前和術後兩組患者的心髒結構和功能相比，差異無統計學意義（P＞0.05）。結論對于起搏器植入後的房顫易患人群，高心房起搏比例可減少房顫事件。
목적：통과관찰무심방전동（방전）병사적노년병태두방결종합정（병두）환자재쌍강기박기식입후방전부하적변화，탐토심방기박비례대노년환자기박기식입후방전적영향。방법채용회고성분석적연구방법。련속입선2006년1월지2012년1월재수도의과대학부속북경우의의원심장중심식입쌍강기박기적환자301례，진행상규수방（3.9±1.8）년，납입최후통계적공283례환자。수방시독취기박기내존저신식，기록심방조박（방조）차수、최장방전지속시간화방전부하；동시획취심방、심실기박점총심박적비례。평개심장결구화공능。장심방기박비례＞66%（66%위심방기박비례중위수）설위고심방기박비례조（141례），심방기박비례≤66%설위저심방기박비례조（142례）。결과여저심방기박비례조상비，고심방기박비례조환자방전부하（최장방전지속시간화방전부하중위수）경저（P＜0.05）；차방조수량요소우저심방기박비례조（P＜0.05）；단심실기박비례재량조지간무명현차이（P＞0.05）。술전화술후량조환자적심장결구화공능상비，차이무통계학의의（P＞0.05）。결론대우기박기식입후적방전역환인군，고심방기박비례가감소방전사건。
ObjectiveTo determine the effect of percentage of atrial pacing on atrial fibrillation (AF) by observing AF burden in the elderly patients with sick-sinus syndrome (SSS) after dual-chamber pacemakers implantation.Methods A retrospective analysis was performed on 301 patients receiving dual-chamber pacemakers implanted in our center from January 2006 to January 2012. They were followed up for (3.9+1.8) years, and finally 283 of them were enrolled in this study. The numbers of atrial premature, longest duration of AF, AF burden, and percentages of atrial and ventricular pacing were obtained through the pacemaker during follow-up, and the structure and function of heart were evaluated. The patients were divided into 2 groups according to the percentages of atrial pacing (66% as the median of atrial pacing): the high atrial pacing group (141 cases) and the low atrial pacing group (142 cases).Results When compared with the low atrial pacing group, the high atrial pacing group had significantly lower AF burden (including the longest duration of AF and the median of AF burden), and smaller numbers of atrial premature(bothP<0.05). But no difference was seen in the percentage of ventricular pacing between the 2 groups (P>0.05). There was no obvious difference in the heart structure and function before and after implantation (P>0.05).Conclusion High percentage of atrial pacing reduces the burden of AF for the elderly SSS patients implanted with dual-chamber pacemaker.
