Problems of Artificial Pacemaker Therapy : SYMPOSIUM ON INDICATION AND SELECTION OF ANTIARRHYTHMIC TREATMENT
スポンサーリンク
概要
- 論文の詳細を見る
Four hundred and sixty-seven cases with implantation of an artificial pacemaker were studied. The postoperative survival rate was 63% for 15 years. Seventy-two percent of type III patients of the sick sinus syndrome were free from postoperative thromboembolism and the lowest of the three types of the sick sinus syndrome. Comparing postoperative physical activity, cardiothoracic ratio and exercise tolerance time, physiological pacing was superior to ventricular pacing in hemodynamic effects and clinical symptoms. In a hundred cases of physiological pacing, complications and problems of physiological pacing were discussed. Atrial sensing failure and oversensing were observed in seven and two cases respectively. A low amplitude of atrial potential and use of unipolar atrial leads were considered to be the main causes of these complications. Bipolar lead should be used as the atrial lead to avoid such complications, because the atrial potential by bipolar leads is not less than that by unipolar leads. Atrial sensing may be more sensitive without electromagnetic interference. The fixed A-V delay time whenever the atrium is sensed or paced, often results in a ventricular fusion beat and hemodynamic change on every beat, according to the interval of atrial and ventricular contractions. The A-V delay time should be changed in accordance with atrial sensing or pacing.
- 社団法人日本循環器学会の論文
- 1985-03-20
著者
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Abe Toshio
Department Of Thoracic Surgery Nagoya University School Of Medicine
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Takeuchi Eiji
Department Of Thoracic Surgery Nagoya University School Of Medicine
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TANAKA MINORU
Department of Thoracic Surgery, Nagoya University School of Medicine
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ABE Toshio
Nagoya University School of Medicine.
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MURASE MITSUYA
The Department of Thoracic Surgery, University of Nagoya School of Medicine
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TANAKA MINORU
The Department of Thoracic Surgery, University of Nagoya School of Medicine
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TAKEUCHI EIJI
The Department of Thoracic Surgery, University of Nagoya School of Medicine
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SATO KOUSEI
The Department of Thoracic Surgery, University of Nagoya School of Medicine
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ABE TOSHIO
The Department of Thoracic Surgery, University of Nagoya School of Medicine
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KATO RINYA
The First Department of Internal Medicine, University of Nagoya School of Medicine
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SASSA HIROMI
The Department of Cardiology, Oogaki Municipal Hospital
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SONE TAKAHITO
The Department of Cardiology, Oogaki Municipal Hospital
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Murase Mitsuya
Department Of Thoracic Surgery Oogaki Municipal Hospital
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Kato Rinya
The First Department Of Internal Medicine University Of Nagoya School Of Medicine
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Sato Kousei
The Department Of Thoracic Surgery University Of Nagoya School Of Medicine
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Abe Toshio
Ist Div. Dept. Of Surg. (prof. H. Hashimoto) School Of Med. Nagoya University Nagoya
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Sassa Hiromi
Department Of Cardiology Ogaki Municipal Hospital
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Sassa Hiromi
Department Of Cardiology Oogaki Municipal Hospital
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Sone Takahito
Department Of Cardiology Oogaki Municipal Hospital
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Takeuchi Eiji
The Department Of Internal Medicine Toneyama National Hospital
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Sone Takahito
The Department Of Cardiology Oogaki Municipal Hospital
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Tanaka Minoru
Department Of Thoracic Surgery Nagoya University School Of Medicine
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Takeuchi Eiji
The First Department Of Surgery Nagoya University School Of Medicine
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Abe Toshio
1st Dept. Of Surg. Univ. Of Nagoya
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Sassa Hiromi
The Department Of Cardiology Oogaki Municipal Hospital
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ABE Toshio
The Department of Internal Medicine, Kanazawa Municipal Hospital
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