Problems and Anti-tachyarrhythmic Effects of Chronic Atrial Pacing : 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
Sixty-six patients in whom atrial pacemaker (AAI) were implanted were followed for one year to 5 years for the occurrence of pacing failure, sensing problems, and later AV block. Pacing failure occurred in only one patient and sensing problems occurred in 15 patients but 10 of them improved after a change of sensing. Temporal change of AV conductivity was not recognized in the majority of patients. Eighteen patients developed transient decrease in AV conductivity. Two patients developed persistent decrease in AV conductivity and ended in clinical AV block for which the pacemaker was implanted. Out of 66 patients, 22 had a history of paroxysmal atrial flutter or fibrillation (AFF) prior to AAI implantation. They were divided into two groups. Group I consisted of 20 patients in whom paroxysmal AFF disappeared after AAI implantation. Group II consisted 22 patients in whom paroxysmal AFF persisted after AAI implantation. Electrophysioligical studies prior to the AAI implantation showed that sinus rate at control was significantly slower (36.310.1 beats per min in Group I, 57.110.8 beats per min in Group II), atrial fragmented activity zone was significantly narrower (62.732.9 msec in Group I, 88.119.7 msec in Group II), and the occurrence of PAC was less at an atrial pacing rate of 70 beats per min (8% in Group I, 67% in Group II) in Group I compared to Group II. In conclusion: When extensive electrophysiological studies prior to AAI implantation were done to select proper patients, chronic AAI pacing had few clinical problems. In addition, electrophysiological studies prior to AAI pacemaker implantation could identify the patients in whom AAI pacemaker would prevent the occurrence of paroxysmal AFF.
- 社団法人日本循環器学会の論文
- 1985-03-20
著者
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Kosakai Yoshio
Department Of Cardiovascular Surgery National Cardiovascular Center
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Isobe Fumitaka
National Cardiovascular Center, The Division of Cardiology
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Shimomura Katsuro
National Cardiovascular Center, The Division of Cardiology
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OHE Tohru
National Cardiovascular Center
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Kobayashi Yoshio
Cardiovascular Division National Cardiovascular Center
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Kosakai Yoshio
National Cardiovascular Center, Department of Cardiovascular surgery.
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Shimomura Katsuro
National Heart Center
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Kito Y
National Cardiovascular Center
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Isobe Fumitaka
Department Of Cardiovascldar Surgery National Cardiovascudar Center
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Satomi Kazuhiro
The NATIVE
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Kosakai Yoshio
Department Of Cardiovascldar Surgery National Cardiovascudar Center
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Kitamura Soichiro
Department Of Cardiovascular Surgery National Cardiovascular Canter
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Isobe Fumitaka
National Cardiovascular Center
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Kosakai Yoshio
National Cardiovascular Center
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Ohe Tohru
Department Of Cardiovascular Surgery National Cardiovascular Center
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