摘要
应用三腔起搏器治疗病窦以及同时有房室传导异常合并快速房性心律失常患者６例，其中５例为阵发房颤，１例为阵发房扑，心电图示房间阻滞。植入冠状窦电极及普通右房和右室电极，用Ｙ型转换器以右房耳电极为负极，冠状窦电极为正极构成新的双极电极。将４例患者ＤＤＤ起搏器调至ＡＡＴ模式，２例患者为ＤＤＤ模式，房性快速心律失常消失。随访２～６个月，疗效满意。三腔心脏起搏器适用于治疗病窦并有房室传导异常合并房内阻滞的阵发房扑和房颤的患者。
Six patients of sick sinus syndrome (SSS) with abnormal atrioventricular conduction were implanted with biatrial trichamber pacemaker Five of them were accompanied with paroxysmal atrial fibrillation and the other one with paroxysmal atrial flutter All of them showed intraatrial conduction block on ECG Three leads were implaced into coronary sinus(CS),right auricle(RA) and right ventricle(RV) RA lead and CS lead were connected with Y shape adapter to reform a new biatrial bipolar lead DDD Pacemaker were implanted Four of them were configured to AAT Mode and the two others still DDD mode No atrial fibrillation and flutter was found when being followed up 2～6 months It's concluded that biatrial trichamber pacemaker can successfully prevent atrial fibrillation and flutter in SSS and abnormal atrioventricular conduction patients with intraatrial conduction block
出处
《心肺血管病杂志》
CAS
1999年第3期187-189,共3页
Journal of Cardiovascular and Pulmonary Diseases
关键词
冠状窦电极
三腔起搏器
病窦综合征
临床应用
Coronary sinus lead
Biatrial trichamber pacemaker
Paroxysmal atrial fibrillation
Paroxysmal atrial flutter
Intraatrial conduction block
