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不同起搏方式对病态窦房结综合征预后的影响
引用本文:严宝力,江时森,宫剑滨,王立军,彭永平,何松青. 不同起搏方式对病态窦房结综合征预后的影响[J]. 医学研究生学报, 2005, 18(Z1): 88-90
作者姓名:严宝力  江时森  宫剑滨  王立军  彭永平  何松青
作者单位:南京军区南京总医院心血管内科,江苏,南京,210002
摘    要:目的比较单心室起搏(VVI)和双腔起搏(DDD)对病态窦房结综合征(SSS)患者快速房性心律失常和心功能的影响.方法对97例VVI、20例DDD患者进行6个月随访,观察临床症状、心电图、24 h动态心电图、心脏超声等变化情况.结果与DDD组相比,VVI组术后持续性心房纤颤及新出现快速房性心律失常的总发生率较高(P<0.05),左心房直径(LAD)增大、左心室射血分数(LVEF)下降较明显(P<0.05).结论SSS患者DDD的预后优于VVI.

关 键 词:起搏方式  病态窦房结综合征  预后
文章编号:1008-8199(2005)增刊-0088-03
修稿时间:2005-03-10

Influence of different pacing modales on the prognosis in patients with sick sinus syndrome
YAN Bao-li,JIANG Shi-sen,GONG Jian-bin,WANG Li-jun,PENG Yong-ping,HE Song-qing. Influence of different pacing modales on the prognosis in patients with sick sinus syndrome[J]. Bulletin of Medical Postgraduate, 2005, 18(Z1): 88-90
Authors:YAN Bao-li  JIANG Shi-sen  GONG Jian-bin  WANG Li-jun  PENG Yong-ping  HE Song-qing
Abstract:Objective: To compare the influence of VVI and DDD pacing model on the incidence of atrial tachyrhythmia and heart function in patients of sick sinus syndrome (SSS). Methods : A 6 months follow-up survey including clinical examination, electrocardiography, dynamic electrocardiography and ech-ocardiography was carried out in VVI(97cases) and DDD(20 cases)pacing patients. Results:Compared with the DDD group, the total incidence of sustained artial fibrillation and new atrial tachyrhythmia post operation in VVI group was much higher, left atrial diameter(LAD)much larger, and the left ventricular ejection fraction ( LVEF) decreased more significantly. Conclusion:The prognosis of SSS in the DDD group is significantly superior to that in the VVI group.
Keywords:Pacing modalities  Sick sinus syndrome  Prognosis
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