中国全科医学2011，Vol.14Issue(3)：255-257,3.
右心室间隔部与右心室心尖部起搏对心脏血流动力学的影响
Effects on Hemodynamics by Pacing in Right Ventricle Septum and Right Ventricle Apex
申强 1包忠武 1艾庆 1周俊 1朱永芝1
作者信息
- 1. 418000,湖南省怀化市,南华大学附属怀化医院心内科
- 折叠
摘要
Abstract
Objective To compare the effects on henodynamics of acute or chronic patients by the pacing in right ventricular septum and in right ventricular apex. Methods Eighty advanced A - V block patients were randomly divided into two groups ( with each group 40 cases respectively ), in which one group received RVS pacing while the other group received RVA pacing. The intraoperative hemodynamic parameters and heart function, including ventricular pacing rate, wave width of QRS, were compared between the two groups. Results There were no statistical differences in operation time, X - ray exposure time, intraoperative threshold voltage and the level of perception resistance between the two groups ( P ＞ 0. 05 ). While during operation , there were statistical differences in the stroke volume of acute phase, cardiac index, stroke volume and wedge pressure of average pulmonary artery. ( P ＜ 0. 05 ). Comparing the 12 months follow — up of the two groups of patients, there were statistical differences in the fraction of left ventricular ejection, E/A, QRS wave width and six minutes of walking distance ( P ＜0. 05 ). Conclusion RVS pacing is as safe and efficient as RVA pacing, while RVS pacing is more beneficial to the hemodynamic and brings less negative effect to heart function.关键词
心脏起搏/人工/血流动力学/右心室心尖部/右心室间隔部分类
医药卫生引用本文复制引用
申强,包忠武,艾庆,周俊,朱永芝..右心室间隔部与右心室心尖部起搏对心脏血流动力学的影响[J].中国全科医学,2011,14(3):255-257,3.
