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安置永久型起搏器(PM)后仍可出现或持续存在晕厥、头晕、心悸。从已报告的几篇资料中看出症状持续存在的发生率变化在1%~30%之间。症状持续存在可以由起搏器系统的功能失调,快速性心律失常或非心源性原因引起。本文叙述了570例安置PM后患者症状持续存在的发生率。特别强调有症状患者的检查(包括动态心电图监测的诊断作用)、治疗和随访。方法选择1981年1月至1982年6月间570例安置PM连续随访的患者。540例为心室起搏
Persistent fainting, dizziness, palpitations may still occur after permanent pacemaker (PM) placement. Several reports have reported that the incidence of persistent symptoms vary between 1% and 30%. The persistence of symptoms can be caused by disorders in the pacemaker system, tachyarrhythmia, or non-cardiac causes. This article describes the 570 patients after the placement of PM patients the incidence of persistent symptoms. Special emphasis is placed on the examination of symptomatic patients (including the diagnostic role of Holter monitoring), treatment and follow-up. Methods From January 1981 to June 1982 570 cases of PM were followed up consecutively. 540 cases of ventricular pacing