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心脏起搏是目前治疗严重缓慢心律失常最有效的方法。本院曾收治一例安植心室按需型起搏器心电图出现室房逆行传导而导致严重并发症之患者,结合文献对其发生机理及预后进行讨论。患者,男,57岁。因患高血压病,冠心病,完全性房室传导阻滞(Ⅲ°AVB),于1988年12月植入埋藏式永久性人工心脏起搏器(VVI型、秦明公司产)。术后可从事轻微工作。翌年12月18日家务劳动后突感心悸,全身乏力,胸痛胸闷,上腹部搏动感,伴头痛及全身多汗,遂急诊入院。体查:血压12.0/9kPa。唇绀,颈静脉稍充盈,可见异常搏动。双
Cardiac pacing is currently the most effective method of treating severe, slow arrhythmias. The hospital had admitted an implanted ventricular on-demand pacemaker ECG appeared retrograde conduction of the room leading to serious complications in patients with literature, its mechanism of occurrence and prognosis are discussed. Patient, male, 57 years old. Due to hypertension, coronary heart disease, complete atrioventricular block (Ⅲ ° AVB), in December 1988 implanted permanent artificial cardiac pacemaker (VVI type, Qin Ming company). After surgery can engage in minor work. December 18 the following year after the housework suddenly felt palpitations, malaise, chest pain, chest tightness, upper abdominal pulsatility, with headache and generalized hyperhidrosis, then emergency admission. Physical examination: blood pressure 12.0 / 9kPa. Cyanosis, a slight filling of the jugular vein, showing abnormal beats. double