| 长期心房与心室起搏对心房颤动发生率的影响 |
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| 引用本文： | 孙宝贵,庄亚纯,庄文燕,李学奇,曲秀芬,孟繁超,黄永麟.长期心房与心室起搏对心房颤动发生率的影响[J].中国心血管杂志,1999,4(4):197-198. |
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| 作者姓名： | 孙宝贵 庄亚纯 庄文燕 李学奇 曲秀芬 孟繁超 黄永麟 |
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| 作者单位： | 上海市第一人民医院，哈尔滨医科大学附属第二医院，哈尔滨医科大学附属第一医院，哈尔滨医科大学附属第二医院，哈尔滨医科大学附属第二医院 上海200080，哈尔滨150088，哈尔滨150001，哈尔滨150088，哈尔滨150088 |
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| 摘 要： | 目的 为比较长期心房与心室起博心房颤动(Af)发生率的影响.方法 选择国内较大的三家医院1992年至1994年期间内安装人工心脏起搏器的病人,随访观察心房起搏(安装了AAI、AAIR、DDD及DDDR起博器)和心室起搏(植入了VVI或VVIR起搏器)Af的发生情况.结果 发现心室搏Af发生有逐年增加的趋势,Af4年发生率为33%,5年为41%,6年为52%.单纯心房起搏或房室顺序起搏Af发生率3%,而单纯心室起搏的病人中约40%出现Af,明显高于心房起搏组,P<0.01.结论 研究证明心房起搏可以减少Af的发生,为起搏方式的选择提供了一个客观根据,提示在临床实践中应该尽量选择AAI和DDD等生理性起搏方式.
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| 关 键 词： | 起搏器 起搏方式 心房颤动 |
Effect of long-term atrial versus ventricaular pacing on incidence of atrial fibrillation |
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| SUN Baogui,ZUANG Yachun,ZHU ANG Wenyan. Cardiology,Shanghai First People's Hospital,Shanghai,. LI Xueqi. Cardiology,The Second Hospital Affiliated to Harbin Medical University Harbin,QU Xiufeng,MENG Fanchao,HUANG Yonglin.Effect of long-term atrial versus ventricaular pacing on incidence of atrial fibrillation[J].Chinese Journal of Cardiovascular Medicine,1999,4(4):197-198. |
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| Authors: | SUN Baogui ZUANG Yachun ZHU ANG Wenyan Cardiology Shanghai First People's Hospital Shanghai LI Xueqi Cardiology The Second Hospital Affiliated to Harbin Medical University Harbin QU Xiufeng MENG Fanchao HUANG Yonglin |
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| Institution: | SUN Baogui,ZUANG Yachun,ZHU ANG Wenyan. Cardiology,Shanghai First People's Hospital,Shanghai,200080. LI Xueqi. Cardiology,The Second Hospital Affiliated to Harbin Medical University Harbin,QU Xiufeng,MENG Fanchao,HUANG Yonglin. The First Hospital Affilated to Harbin Medical University. |
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| Abstract: | We evaluated long-term effect of stimulating mode on the incidence of atrial fibrillation(Af ). The incidence of Af in patients with atrial versus ventricular pacemaker (A AI, A AIR, DDD and DDDR vs VVI and VVIR) was monitored for average follow-up of 5 years in three medical center. The incidence of AF was significantly higher in patients with ventricular pacemaker than in patients with atrial pacemaker,40% versus 3%,p<0. 01. The incidence of AF in ventricular pacing mode tended to inctease with time of follow up,33% for 4 years,41% for 5 years and 52% for 6 years. Thus,it is confirmed that one of advantage in atrial pacing over ventricular pacing is decreased incidence of Af ,and suggested that atrial stimulation seems to be better pacing mode in preventing Af. |
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| Keywords: | Pacemaker Pacing mode Atrial fibrillation |
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