上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (6): 828-.doi: 10.3969/j.issn.1674-8115.2011.06.033

• 论著（临床研究） • 上一篇    下一篇

最小化心室起搏模式的临床比较

张 敏1,2, 顾 刚1, 沈永初1, 吴立群1   

  1. 1.上海交通大学 医学院附属瑞金医院心内科 |卫生部心律失常介入技术培训基地, 上海 200025； 2.贵州省六盘水市首钢水城钢铁集团有限公司总医院内二科, 贵州 553028
  • 出版日期:2011-06-28 发布日期:2011-06-27
  • 通讯作者: 顾 刚, 电子信箱: gugang@medmail.com.cn。
  • 作者简介:张 敏 (1973—), 女, 副主任医师, 学士；电子信箱: 710392065@qq.com。

Clinical comparison of minimizing ventricular pacing mode

ZHANG Min1,2, GU Gang1, SHEN Yong-chu1, WU Li-qun1   

  1. 1.Ministry of Health Training Base for Cardiac Arrhythmia Intervention, Department of Cardiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China；2.Department of Internal Medicine, General Hospital of Shougang Shuicheng Steel Group Co., Ltd, Liupanshui 553028, China
  • Online:2011-06-28 Published:2011-06-27

PDF (PC)

1463

摘要：

目的 评估起搏器减少右心室起搏程序模式的临床疗效和安全性。方法 因病态窦房结综合征而植入Medtronic Adapta ADD01型双腔起搏器的患者32例，分别以心室起搏管理（MVP）模式、固定延长房室间期（LAVD）模式和增强的房室间期自动搜索（Search AV＋）模式起搏2个月后，比较此三种能减少右心室起搏工作模式的心室起搏百分比及心律失常情况。结果 在6个月的随访中，所有患者未观察到与起搏器相关的房性和室性心律失常及其他不良反应事件。MVP模式下，心室起搏百分比最低，为0.35%，明显低于Search AV＋模式的0.70%和LAVD模式的0.65%，差异均有统计学意义（P<0.05）；Search AV＋模式下的心室起搏百分比略高于LAVD模式，但差异无统计学意义（P＞0.05）。结论 在最小化心室起搏策略中，MVP模式优于Search AV＋模式和LAVD模式。

关键词: 起搏器, 最小化心室起搏, 心室起搏管理

Abstract:

Objective To evaluate the effectiveness and safety of minimizing ventricular pacing mode. Methods The Medtronic Adapta ADD01 pacemakers were implanted in 32 patients with sick sinus syndrome. The percentages of ventricular pacing and incidences of arrhythmia were compared two months after application of managed ventricular pacing (MVP) mode, fixed long extension of atrioventricular delay (LAVD) mode and enhanced automatic atrioventricular interval search (Search AV+) mode. Results Patients were followed up for 6 months, and no pacemaker-associated atrial and ventricular arrhythmias and other adverse events were observed. In MVP mode, the percentage of ventricular pacing (0.35%) was significantly lower than those in LAVD mode (0.65%) and Search AV+ mode (0.7%)(P<0.05). Compared with LAVD mode, Search AV+ mode mildly increased the percentage of ventricular pacing (P>0.05). Conclusion MVP mode is better than Search AV+ mode and LAVD mode in minimizing ventricular pacing.

Key words: pacemaker, minimizing ventricular pacing, managed ventricular pacing