| 一种新型的频率应答起搏器:利用心内阻抗变化作为感知器原理的闭环刺激系统(附一例报告) |
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| 引用本文： | 陈文,杨向军,杨俊华,刘志华,宋建平,高美雯,惠杰,蒋文平. 一种新型的频率应答起搏器:利用心内阻抗变化作为感知器原理的闭环刺激系统(附一例报告)[J]. 中国心脏起搏与心电生理杂志, 2002, 16(2): 130-132 |
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| 作者姓名： | 陈文 杨向军 杨俊华 刘志华 宋建平 高美雯 惠杰 蒋文平 |
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| 作者单位： | 苏州大学附属第一医院心内科,江苏苏州,215006 |
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| 摘 要： | 探讨一种闭环频率应答起搏器的临床应用。患者男性 ,76岁 ,Ⅲ度房室阻滞 ,因心室按需起搏器电池耗竭入院更换成BIOTRONIK公司的INOS2 + CLS闭环频率应答起搏器。结果发现 :INOS2 + CLS在不同的体力负荷、情绪变化和思维活动时均能较好地进行频率应答 ,血压也有正常的波动。患者术后心功能由Ⅱ～Ⅲ级改善为Ⅰ级 (NYHA分级 ) ,左、右房较术前明显缩小或恢复正常 ,轻度肺动脉高压消失。提示 :INOS2 + CLS起搏器能够实现由自主神经系统控制的生理性频率应答
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| 关 键 词： | 心脏起搏 自主神经系统 闭环刺激 |
| 文章编号： | 1007-2659(2002)02-0130-03 |
| 修稿时间： | 2001-07-02 |
A New Rate-Adaptive Pacemaker:Closed Loop Stimulation Using Intracardiac Impedance As a Sensor Principle |
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| CHEN Wen,YANG Xiang jun,YANG Jun hua,et al.. A New Rate-Adaptive Pacemaker:Closed Loop Stimulation Using Intracardiac Impedance As a Sensor Principle[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2002, 16(2): 130-132 |
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| Authors: | CHEN Wen YANG Xiang jun YANG Jun hua et al. |
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| Abstract: | Department of Cardiology,First Affiliated Hospital of Suzhou University,Suzhou 215006,ChinaThe purpose of the study is to probe the clinical application of a rate adaptive pacemaker with closed loop stimulation.A male patient was 76 years old with Ⅲ degree atrioventricular block (AVB).His ventricular demand pacemaker was changed into INOS 2+ CLS of BIOTRONIK for battery depletion.The results showed that the INOS 2+ CLS pacing system worked physiologically during activity,emotional reaction and thinking with normal blood pressure fluctuation.After operation the cardiac function improved from NYⅡ～Ⅲ to NYⅠ.And the size of left and right atrial decreased markedly while the previous slight step up of pulmonary artery pressure disappeared.It suggests that INOS 2+ CLS pacemaker can operate physiologically controlled by automatic nervous system |
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| Keywords: | Automatic nervous system Closed loop stimulation |
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