SYMPTOMS, CARDIOVASCULAR RISK PROFILE AND SPONTANEOUS ECG IN PACED PATIENTS - A 5-YEAR FOLLOW-UP-STUDY

被引:43
作者
GRIMM, W
LANGENFELD, H
MAISCH, B
KOCHSIEK, K
机构
[1] UNIV MARBURG,HOSP INTERNAL MED,W-3550 MARBURG,GERMANY
[2] UNIV WURZBURG,HOSP INTERNAL MED,WURZBURG,GERMANY
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1990年 / 13卷 / 12期
关键词
FOLLOW-UP; PACEMAKER PATIENTS; CARDIOVASCULAR DISEASES; SYMPTOMS; ATRIAL FIBRILLATION;
D O I
10.1111/j.1540-8159.1990.tb06947.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Only few data are available about the course of symptoms, cardiac diseases, and spontaneous rhythm in pacemaker patients. Therefore, we followed the course of 308 paced patients (age 72 +/- 11 years) with a mean implantation time of 63 +/- 45 months. Results: The symptom triad of syncope, dizziness, and dyspnea improved remarkably in 93% of patients. Thirty-nine percent suffered from coronary heart disease. The risk factors of hypertension (47%), nicotine (37%), and diabetes mellitus (25%) were found significantly more often than in a normal population with the same age and sex profile. In VVI paced patients with sick sinus syndrome (SSS, n = 67) atrial fibrillation (AF) occurred significantly more often (42%) than in patients with AV block (n = 80, 23%, P < 0.05). Only one out of 41 DDD paced patients showed AF at follow-up. VVI stimulation seems to favor AF due to retrograde conduction in SSS. Only 3% of patients with SSS developed second- or third-degree AV block. Therefore, atrial pacing is preferable in most patients with SSS.
引用
收藏
页码:2086 / 2090
页数:5
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