摘要
分析25例置永久心脏起搏器的老年人缓慢性心律失常,其中以病态窦房结综合征(SSS)多见(22例)。原发病以冠心病为主(21例)。随访2~69个月,全部患者原有症状消失,生活自理。置心室按需型起搏器已能达到治疗目的,尤以双腔起搏器(DDD)之类的生理性起搏器者生活质量明显提高。置起搏器后单纯型SSS者心律失常有所改善,但仍有16%发生房颤,置DDD者尚可发生起搏介入性心动过速,随访及时发现和处理新的心律失常不可忽视。
cases of bradyarrhythmic elderly implanted permanent pacemakers were studied, mostly sick sinus sydrome(22 cases). The primary illment was coronary heart disease. During a follow-up from two to sixty-nine months, all patients were free from previous symptoms and could care for themselves.Treatment goal had been achieved by implanting VVI pacemakers; Quality of life had been improved by implanting DDD physiological pacemakers. With the pacemakers, the arrhythmia in patients with simple type sick sinus sydrome improved, but in 16% of patients, there was still auricular fibrillation. There might be a few pacemaker-mediated tachycardia. Follow-up visits to discover and treat newly developed arrhythmia are important for patients with permanent pacemaker.
出处
《实用老年医学》
CAS
1995年第4期167-168,共2页
Practical Geriatrics
关键词
心律失常
起搏器
老年人
临床分析
Arrhythmia
Pacemaker
Sick sinus sydrome
Electrocardiogram