置起搏器的老年人心律失常分析及随访观察

分析２５例置永久心脏起搏器的老年人缓慢性心律失常，其中以病态窦房结综合征（ＳＳＳ）多见（２２例）。原发病以冠心病为主（２１例）。随访２～６９个月，全部患者原有症状消失，生活自理。置心室按需型起搏器已能达到治疗目的，尤以双腔起搏器（ＤＤＤ）之类的生理性起搏器者生活质量明显提高。置起搏器后单纯型ＳＳＳ者心律失常有所改善，但仍有１６％发生房颤，置ＤＤＤ者尚可发生起搏介入性心动过速，随访及时发现和处理新的心律失常不可忽视。

Arrhythmia in the elderly with a permanent pacemaker: clinical analysis and follow-up observation

cases of bradyarrhythmic elderly implanted permanent pacemakers were studied, mostly sick sinus sydrome(22 cases). The primary illment was coronary heart disease. During a follow-up from two to sixty-nine months, all patients were free from previous symptoms and could care for themselves.Treatment goal had been achieved by implanting VVI pacemakers; Quality of life had been improved by implanting DDD physiological pacemakers. With the pacemakers, the arrhythmia in patients with simple type sick sinus sydrome improved, but in 16% of patients, there was still auricular fibrillation. There might be a few pacemaker-mediated tachycardia. Follow-up visits to discover and treat newly developed arrhythmia are important for patients with permanent pacemaker.