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应用动态心电图(Holtee监护)监测12例安置埋藏式起搏器后的病人,其中9例为出院前的常规监测。结果除显示起搏系统功能正常外,在病窦综合征者中,显示有频率不等的自主心律,有时伴假性和真性融合波;在高度或完全性房室传导阻滞的病人中,尚显示有频率不等的室性早搏,后者在常规心电图检查中难以发现。2例为起搏治疗后发生故障而进行监测者,结果发现1例为电能耗渴,另1例为心内膜电极移位。有1例起搏治疗后出现发作性昏厥而原因未明,经Holter监测后发现伴发快速室率的心房朴动,于应用药物控制房朴后昏厥未再发作过。
Holter monitor was used to monitor 12 patients after implantation of pacemakers, of which 9 were routinely monitored before discharge. In addition to the pacing system shows normal function, in patients with sick sinus syndrome, there are different frequency of autonomic heart rhythm, and sometimes with false and true fusion wave; in patients with highly or completely atrioventricular block, Premature ventricular contractions are also displayed with varying frequency, which is difficult to detect in routine ECG. Two patients were monitored for failure after pacing therapy. One patient was found to be electrically energy-consuming and the other one was endocardial electrode displacement. There was 1 case of paroxysmal cataract after pacing treatment and the reason was unknown. After Holter monitoring, it was found that atrial fibrillation accompanied with rapid room rate was not recurrence after application of drug control.