摘要
目的探讨起搏器术后快速房性心律失常(rapid atrial arrhythmia,RAA)的检出率。方法记录2017年3月至2018年2月在本中心植入起搏器并参与随访的271例患者资料,分析RAA的检出率相关因素。结果随访患者中,男性137例,女性134例,平均年龄74±10(40～92)岁,随访时间11±6月。术前有RAA病史73例,其中男性38例,女性35例。术后检测出RAA 114例,其中男性59例,女性55例。70～79岁的患者术前诊断RAA 33例,术后检出RAA 57例。植入适应症为病态窦房结综合征者130例,术前诊断RAA者43例,术后检出70例;房室传导阻滞者117例,术前诊断RAA者18例,术前检出29例;窦房结房室结双重病变者24例,术前诊断RAA 12例,术后检出15例。结论起搏器术后RAA检出率高,其中因病态窦房结综合征而植入双腔起搏器的患者,术后检出RAA的比例高达54%,房室传导组织者术后检出RAA比例为25%。年龄不同,起搏器术后检出RAA比例不同,以70～79岁患者术后检出RAA的比例最高。
Objective To investigate the detection rate of rapid atrial arrhythmia(RAA) after pacemaker surgery. Methods Data from 271 patients who were implanted with pacemakers and participated in follow-up at our center from March 2017 to February 2018 were recorded. The factors related to the detection rate of RAA were analyzed. Results Of the follow-up patients, 137 were male and 134 were female, with an average age of 74 ±10(40~92) years and a follow-up of 11 ±6 months. There were 73 patients with a history of RAA before surgery,including 38 males and 35 females. 114 cases of RAA were detected postoperatively, including 59 males and 55 females. Patients aged 70~79 years underwent preoperative diagnosis of RAA in 33 cases and postoperative RAA in57 cases. Implantation indications were 130 patients with sick sinus syndrome, 43 patients with RAA before operation, 70 patients with postoperative detection, 117 patients with atrioventricular block, and 18 patients with preoperative RAA. Preoperative examination 29 patients had lesion of both sinus node and atrioventricular node, and12 patients underwent preoperative diagnosis of RAA and 15 patients after surgery. Conclusions The detection rate of RAA after pacemaker is high. Among patients with double-chamber pacemaker due to SSS, the proportion of RAA detected after operation is as high as 54%. The RAA ratio detected was 25% in AVB patients. The proportion of RAA detected after pacemaker was different as different ages, and the proportion of RAA detected in patients of 70~79 years was the highest.
作者
高瑞龙
刘芃
周益锋
郭诗东
Gao ruilong;Liu fan;Zhou yifeng;Guo shidong(China-Japan Friendship Hospita1,Beijin,China)
出处
《临床心电学杂志》
2018年第3期195-198,共4页
Journal of Clinical Electrocardiology
