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对33例植入心房电极者进行起搏阈值的随访,结果表明:起搏阈值峰值为1.44±0.74V/0.5ms,出现在植入后两周内;慢性期起搏阈值为1.22±0.40V/0.5ms;伴器质性心脏病患者慢性期起搏阈值(1.70士0.37V/0.5ms)明显高于不伴器质性心脏病者(1.16±0.37V/0.5ms),P<0.01;激素电极的起搏阈值峰值(1.12±0.29V/0.5ms)和慢性期起搏阈值(0.77±0.17V/0.5ms)均显著低于非激素电极(1.80±0.68V/0.5ms和1.40±0.33V/0.5ms),P<0.05及0.001。提出在非特殊情况下,将出厂时的电能由5.0V/0.5ms降至2.5V/0.5ms既可保证有效起搏,又可节省电能,从而延长起搏器的使用寿命。
Thirty-three patients with atrial electrodes were followed up for pacing threshold. The results showed that the peak value of pacing threshold was 1.44 ± 0.74V / 0.5ms and appeared within two weeks after implantation. The pacing threshold of chronic phase was 1.22 ± 0.40V / 0.5ms; chronic pacing threshold (1.70 ± 0.37V / 0.5ms) in patients with organic heart disease was significantly higher than those without organic heart disease .16 ± 0.37V / 0.5ms), P <0.01; the peak values of pacing threshold (1.12 ± 0.29V / 0.5ms) and the chronic pacing threshold (0.77 ± 0 .17V / 0.5ms) were significantly lower than the non-hormonal electrodes (1.80 ± 0.68V / 0.5ms and 1.40 ± 0.33V / 0.5ms), P <0.05 and 0.001. It is proposed that in non-special cases, the power delivered from the factory can be reduced from 5.0V / 0.5ms to 2.5V / 0.5ms to ensure effective pacing and save energy, thus prolonging the service life of the pacemaker.