| 房间隔起搏的初步临床应用经验 |
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| 引用本文： | 沈法荣,郑良荣,黄抒伟,凌锋,陶谦民,陈建明.房间隔起搏的初步临床应用经验[J].中华心律失常学杂志,2004,8(2):121-124. |
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| 作者姓名： | 沈法荣 郑良荣 黄抒伟 凌锋 陶谦民 陈建明 |
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| 作者单位： | 1. 310013,杭州,浙江医院心内科
2. 浙江大学医学院附属第一医院心内科 |
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| 摘 要： | 目的 探讨有适应证的阵发性心房颤动(房颤)患者永久性房间隔起搏的可行性和安全性。方法 先行心内电生理标测，寻找使双心房同步激动的房间隔最佳起搏点，采用主动固定方法将导线固定于该部位。结果 18例伴有房间传导阻滞的阵发性房颤患者，14例患者完成房间隔标测和永久性起搏导线植入手术，4例未能成功植入房间隔起搏导线。结论 在伴有房间传导阻滞的阵发性房颤患者中永久性房间隔起搏是安全可行的。
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| 关 键 词： | 房间隔起搏 临床应用 阵发性心房颤动 房间传导阻滞 电生理标测 |
| 修稿时间： | 2004年2月9日 |
The preliminary clinical experience of atrial septal pacing |
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| SHEN Fa-rong,ZHENG Liang-rong,HUANG Shu-wei,LING Feng,TAO Qian-min,CHEN Jian-ming.The preliminary clinical experience of atrial septal pacing[J].Chinese Journal of Cardiac Arrhythmias,2004,8(2):121-124. |
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| Authors: | SHEN Fa-rong ZHENG Liang-rong HUANG Shu-wei LING Feng TAO Qian-min CHEN Jian-ming |
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| Institution: | SHEN Fa-rong,ZHENG Liang-rong,HUANG Shu-wei,LING Feng,TAO Qian-min,CHEN Jian-ming. Department of Cardiology,Zhejiang Hospital,Hangzhou 310013,China |
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| Abstract: | Objective To evaluate the feasibility and safety of permanent atrial septal pacing in patients with paroxysmal atrial fibrillation. Methods First, this study sought the most suitable position which can reach the effect of dual-atrial synchronizing through EP test. Then, an active fixation pacing lead was implanted in this site. Results Among eighteen patients of paroxysmal atrial fibrillation together with inter-atrial conduction block, 14 patients were successfully performed atrial septal mapping, and then, a permanent active fixation pacing lead was implanted in these patients. Whereas, there were four failed pacing lead implant procedures. Conclusion The technique of permanent atrial septal pacing in patients with PAF is feasihile and safe. |
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| Keywords: | Interatrial conduction block Paroxysmal atrial fibrillation Electrophysiological mapping Atrial septal pacing |
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