中国医学创新2016，Vol.13Issue(19)：24-27,4.DOI:10.3969/j.issn.1674-4985.2016.19.007
右室中位间隔起搏治疗缓慢型心律失常的临床效果观察
Clinical Effect of Right Ventricular Mid-septal Pacing in Patients with Bradyarrhythmia
摘要
Abstract
Objective:To evaluate the feasibility, availability, and safety of right ventricular mid-septal pacing (RVSP) technique by using active fixation lead in patients with bradyarrhythmia.Method: Forty patients diagnosed with bradyarrhythmia were selected in our hospital,from September 2014 to September 2015.Patients were randomly assigned to RVSP group and RVAP group,20 cases in each group.The ventricular electrode implantation time,intra-operative radiation time,and the width of QRS wave of ventricular pacing ECG of two groups were recorded.Immediately and 3 monthes after the surgery,the threshold,perception and impedance of ventricular electrode of two groups were compared;before and 3 monthes after the surgery,left ventricular ejection fraction (LVEF) and septal-to-posterior wall motion delay(SPWMD) of two groups were compared.Besides,the peri-operative adverse events of two groups were observed.Result:There was no significant difference in the time of ventricular electrode implantation and intra-operative radiation(P>0.05).Compared the threshold,perception, and impedance of ventricular electrode of two groups in immediately and 3 monthes after the surgery,as well as the LVEF before and 3 monthes after the surgery,the differences were no statistically significant(P>0.05).More narrow of the width QRS wave of ventricular pacing ECG and less SPWMD in RVSP group than RVAP group, the difference were statistically significant(P<0.05).There were no adverse events in two groups during peri-operation.Conclusion:RVSP by using active fixation lead is the safe and effective technique in patients with bradyarrhythmia.关键词
右室中位间隔/主动固定电极/缓慢型心律失常/起搏器Key words
Right ventricular mid-septal pacing/Active fixation lead/Bradyarrhythmia/Pacemaker引用本文复制引用
谭晓晖,刘杰强,罗翊芝,伍伟铭,梁转合,朱可云..右室中位间隔起搏治疗缓慢型心律失常的临床效果观察[J].中国医学创新,2016,13(19):24-27,4.基金项目
广东省科学技术厅公益研究与能力建设专项资金项目（2015A020210024）；广东省江门市卫生和计生局科学技术研究项目 （）
