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目的 观察单部位右房起搏防治心房颤动 (AF)的效果。方法 2 0 0 0 - 0 2～ 2 0 0 3- 0 4吴江市第一医院选择阵发性房颤 (PAF) 9例 ,另 1例为风心病。通过 2 4h动态心电图 (Holter)等记录和分析起搏器植入前、后 6个月内PAF发作情况。结果 起搏器植入后AF发作次数比植入前明显减少 (18 6± 6 9)和 (1 6± 2 5 ) ,P <0 0 0 1;无AF间隔时间明显延长 (12 3 9± 5 6 3)和 (30 12 5± 112 0 1)h ,P <0 0 0 1;AF持续时间比植入前明显减少 (4 6± 2 1)和 (0 7± 0 5 ) ,P <0 0 1。结论 单部位右房起搏对AF有一定的防治作用
Objective To observe the effect of single atrial pacing on atrial fibrillation (AF). Methods 2 0 0 - 0 2 ~ 2 0 0 3- 0 4 Wujiang First Hospital selected paroxysmal atrial fibrillation (PAF) in 9 cases, and the other 1 case of rheumatic heart disease. PAH seizures were recorded and analyzed within 24 months before and after the implantation of pacemaker by 24 h Holter. Results The number of AF episodes after implantation of pacemaker was significantly lower than that before implantation (18 6 ± 6 9) and (16 ± 2 5) P <0 0 0 1. The duration of AF without AF was significantly longer (12 3 9 ± P <0 0 0 1; AF duration was significantly lower than that before implantation (46 ± 2 1) and (0 7 ± 0 5), P < 0 0 1. Conclusions Single-site right atrial pacing has some preventive and therapeutic effects on AF