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題 名 | Acute Effects of Dual-chamber Pacing on the Left Ventricular Systolic Function and Relaxation in Patients with Advanced AV Block and Sick Sinus Syndrome=在高度房室傳導阻斷或病竇症候群病人急性電刺激對左心室收縮及舒張功能的影響 |
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作 者 | 蕭相江; 陳震寰; 江志桓; 劉俊鵬; | 書刊名 | 中華醫學會雜誌 |
卷 期 | 69:1 民95.01 |
頁 次 | 頁32-36+CA06 |
分類號 | 415.31 |
關鍵詞 | 左心室功能; 左心室舒張; 電刺激; Left ventricular function; Left ventricular relaxation; Pacing therapy; |
語 文 | 英文(English) |
英文摘要 | Background: Abnormal activation of the ventricles via right ventricular apical pacing deteriorates cardiac function, which may explain the increased mortality of patients with congestive heart failure receiving permanent pacemakers. We hypothesized that pacing at alternative sites may cause less detrimental effects on the cardiac function. Methods: Five symptomatic patients with either advanced AV block (n = 4) or sick sinus syndrome with normal left ventricular (LV) function (n = 1) were studied. During cardiac catheterization, LV pressure was recorded with a high-fidelity catheter-tipped transducer. Baseline rhythms were sinus rhythm or VVI pacing. Sequential VDD pacing with variable AV intervals was performed at the right ventricular apex (RVA), right ventricular septum (RVS), right ventricular outflow tract (RVOT) and coronary sinus (CS). LV systolic function was assessed by calculating dP/dtmax and LV diastolic function was indexed by calculating the exponential isovolumic relaxation constant (Tau). Percentage changes (mean E SE) from baseline to pacing were measured. Results: RVA pacing reduced dP/dtmax (–0.8 E 8.4%) and prolonged Tau (7.0 E 5.6%); RVS pacing enhanced dP/dtmax (20.7 E 15.3%) and shortened Tau (–10.4 E 9%); RVOT pacing reduced dP/dtmax (–8.0 E 20.0%) and shortened Tau (–6.0 E 12.2%); CS pacing reduced dP/dtmax (–11.7 E 13.0%) and prolonged Tau (10.5 E 11.9%). Our results demonstrated that different pacing sites have different effects on LV contractility and relaxation in patients with normal LV function. Conclusion: Since pacing at the RVS preferably increased LV dP/dtmax and shortened Tau, it may be a better alternative than the RVA. |
本系統中英文摘要資訊取自各篇刊載內容。