| 动态心电图检测起搏功能的价值 |
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| 引用本文： | 李萍,陈锐华,江时森,张启高,宫剑滨,刘保军.动态心电图检测起搏功能的价值[J].江苏医药,2006,32(8):719-720. |
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| 作者姓名： | 李萍 陈锐华 江时森 张启高 宫剑滨 刘保军 |
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| 作者单位： | 210002,南京军区南京总医院心脏病科 |
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| 摘 要： | 目的 评价动态心电图（DCG）对心房按需型（AAI）、心室按需型（VVI）、双腔按需型（DDD）起搏功能异常判断的价值。方法 利用DCG监测导联CM1、CM3及CM5，应用回放式计算机分析系统，分析起搏与感知功能。结果 159例患者经DCG检出VVI起搏者14例伴起搏、感知功能障碍，DDD起搏者2例伴起搏、感知功能障碍，1例伪感知功能障碍。结论 DCG自动分析系统对VVI起搏模式的ECG自动检出正确率最高，对AAI起搏模式次之，AAI通过人工识别后仍可取得满意效果；但对DDD起搏模式的DCG分析则最困难。
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| 关 键 词： | 心脏起搏器 起搏功能 感知功能 动态心电图 |
| 收稿时间： | 2005-10-31 |
| 修稿时间： | 2005年10月31 |
Values of DCG in the diagnosis of pacing dysfunction |
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| LI Ping, CHEN Ruihua, JIANG Shisen,et al..Values of DCG in the diagnosis of pacing dysfunction[J].Jiangsu Medical Journal,2006,32(8):719-720. |
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| Authors: | LI Ping CHEN Ruihua JIANG Shisen |
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| Institution: | Department of Cardiology, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, CHINA |
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| Abstract: | Objective To assess the values of dynamic electrocardiography(DCG) in the diagnosis of AAI,VVI and DDD pacing dysfunction.Methods By means of DCG monitoring leads(CM1,CM3,CM5) and playback computer analysis system,pacing function of pacemakers was analyzed. Results Of 159 patients, 14 VVI patients were diagnosed as pacing and sensing dysfunction,2 DDD patients were diagnosed as pacing and sensing dysfunction and 1 as sensing dysfunction.Conclusion DCG automatic analysis system provides most accuracy in ECG of VVI pacing mode,less in AAI pacing mode and the least in DDD pacing mode.After artificial identification,DCG remained to be a diagnostic manner in AAI pacing modes. |
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| Keywords: | Heart pacemaker Pacing function Sensing function Dynamic electrocardiography |
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