对于单腔心脏起器治疗鼻节功能障碍的患者,节奏模式的生存率
Ramanathan Velayuthan1, Suresh Kumar Sukumar1, Dinakar Bootla1
1Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Indian heart journal
|December 9, 2023
概括
单腔心房节奏是安全和有效的鼻节功能障碍患者与正常的AV导电. 这种方法避免了不必要的双腔心脏起器植入物,显示传导异常的罕见发展.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 阴道节功能障碍 (SND) 与正常心房导电 (AV) 通常需要单腔心房节奏.
- 由于对新出现的AV阻塞的担忧,经常选择双腔心脏起器植入,报告的发病率从0.6%到4.4%不等.
研究的目的:
- 评估SND和正常AV导电的患者单腔心房节奏 (AAIR) 的长期结果.
- 评估心脏起器设备变化的发生率,AV阻塞,捆绑分支阻塞,心房动,并发症,再手术和死亡率.
主要方法:
- 在2014年1月至2021年12月期间,对113名患有SND和正常AV导电的患者进行了回顾性分析,这些患者在2014年1月至2021年12月期间接受了单腔心房起器.
- 随访包括监测心脏起器设备的变化,新的AV阻塞,捆绑分支阻塞,心房动,问题,重新手术和死亡率.
主要成果:
- 在113名患者中,没有人在平均随访48.7个月期间需要将心脏起器设备升级为VVIR/DDDR.
- 9名患者 (8%) 需要重新手术,原因包括脱落,高节奏值,口袋侵蚀和脉冲发生器问题.
- 没有患者出现新发动的AV阻塞或心房动,心房率缓慢;只有4名患者 (3.5%) 患有心房动.
结论:
- 单腔心房节奏是SND和正常AV导电的患者的可行和安全的选择,特别是在年轻人群中.
- 在这个患者群体中,发生AV导电异常的风险很低,这挑战了双腔起器的常规使用.
关键词:
这就是AAIAI.阻止 AV 阻止 AV 阻止 AV.心房动是一种心房动.哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈阴道节的功能障碍更多相关视频
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