|本期目录/Table of Contents|

[1]周菲,赵新国,张意仲,等.133例永久心脏起搏器植入者首发症状和病因分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(06):609-611.[doi:10.3969/j.issn.1672-271X.2016.06.014]
　ZHOU Fei,ZHAO Xin-guo,ZHANG Yi-zhong,et al.First symptom and etiological factors in 133 patients with permanent pacemakers[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(06):609-611.[doi:10.3969/j.issn.1672-271X.2016.06.014]
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133例永久心脏起搏器植入者首发症状和病因分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年06期
页码:
609-611
栏目:
出版日期:
2016-11-20

文章信息/Info

Title:
First symptom and etiological factors in 133 patients with permanent pacemakers
作者:
周菲; 赵新国; 张意仲; 叶帆; 李雪峰
310051浙江杭州，武警浙江省总队杭州医院心血管内科
Author(s):
ZHOU Fei;  ZHAO Xin-guo;  ZHANG Yi-zhong;  YE Fan;  LI Xue-feng.
Department of Cardiology, Zhejiang General Corps of Armed Police Forces Hospital, Hangzhou, Zhejiang 310051, China
关键词:
心脏起搏器; 首发症状; 病因
Keywords:
permanent pacemaker;  first symptom;  etiological factor
分类号:
R544.1
DOI:
10.3969/j.issn.1672-271X.2016.06.014
文献标志码:
A
摘要:
目的 回顾性分析133例首次安置永久心脏起搏器患者的临床资料，对患者首发症状及发病原因加以探讨。方法 所有患者均进行病史采集、血液常规、生化检查、胸片、心电图、超声心动图、动态心电图或心电遥测记录。34例行冠状动脉造影检查。结果 以黑矇或晕厥为首发症状的有56例（42.1%）。133例患者中冠心病45例，其中房扑、房颤与心动过缓并存者有19例（42.2％）；老年退行性心脏瓣膜病58例，房扑、房颤与心动过缓并存者13例（22.4％），两组发生率相比有统计学差异（P<0.05)。结论 冠心病和老年退行性心脏瓣膜病为患者接受起搏治疗的主要原因，合并窦房结功能障碍的冠心病患者更多表现为房扑、房颤与心动过缓并存。重视患者的心脏外非特异症状，才能提高对缓慢性心律失常的临床诊断水平。
Abstract:
Objective To analysis the first symptom and etiological factors in patients with permanent pacemaker. Methods 133 patients underwent history taking, blood detection, chest X-ray, electrocardiogram, echocardiogram and Holter monitoring or electrocardiogram remote monitoring. 34 cases underwent coronary angiography. ResultsAmaurosis or syncope as the first symptom were found in 56 cases (42.1%). Flutter or atrial fibrillation combined with sinus node disease (SND) was observed in 19 patients (42.2%) among 45 patients who suffered with coronary heart disease (CHD). While the incidence was 22.4% in 58 patients with senile degenerative heart valvular disease(SDHVD). Patients suffered with CHD showed significantly higher rate of flutter or atrial fibrillation combined with SND than those suffered with SDHVD (P<0.05). ConclusionBesides amaurosis and syncope, non-special symptom should be paid more attention especially in the aged. CHD and SDHVD were the main causes of patients with permanent pacemakers. CHD patients suffered with SND are more likely presented flutter or atrial fibrillation combined with bradycardia.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-11-20