目的探讨起搏器术后快速房性心律失常(rapid atrial arrhythmia
RAA)的检出率。方法记录2017年3月至2018年2月在本中心植入起搏器并参与随访的271例患者资料
分析RAA的检出率相关因素。结果随访患者中
男性137例
女性134例
平均年龄74±10(40~92)岁
随访时间11±6月。术前有RAA病史73例
其中男性38例
女性35例。术后检测出RAA 114例
其中男性59例
女性55例。70~79岁的患者术前诊断RAA 33例
术后检出RAA 57例。植入适应症为病态窦房结综合征者130例
术前诊断RAA者43例
术后检出70例;房室传导阻滞者117例
术前诊断RAA者18例
术前检出29例;窦房结房室结双重病变者24例
术前诊断RAA 12例
术后检出15例。结论起搏器术后RAA检出率高
其中因病态窦房结综合征而植入双腔起搏器的患者
术后检出RAA的比例高达54%
房室传导组织者术后检出RAA比例为25%。年龄不同
起搏器术后检出RAA比例不同
以70~79岁患者术后检出RAA的比例最高。
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