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病窦综合征(SSS)植入心脏起搏器前的栓塞性卒中的危险性已明确,而植入起搏器后的卒中尚无详细研究。作者曾遇到10例SSS 病人在植入起搏器后发生了缺血性卒中。该10例年龄69～90岁;女6男4。发生卒中的时间为植入起搏器后4天至112月,大多在植入44个月后。植入心室起搏器者8例,心房起搏器者1例,双腔房室连续起搏器者1例。6例卒中时有心房纤颤(AF),1例有阵发性AF。此6例均系植入心室起搏器者。卒中发生时,6例在口服阿斯匹林(325～975mg/日),1例在华法令长期治疗中。
The risk of embolic stroke in patients with sick sinus syndrome (SSS) before implantation of pacemakers has been established, and there is no detailed study of stroke after pacemaker implantation. The authors have encountered 10 cases of SSS patients after implantation of pacemaker ischemic stroke occurred. The 10 cases were 69 to 90 years old and 6 were female. Stroke occurred 4 to 112 months after implantation of the pacemaker, mostly after 44 months of implantation. Ventricular pacemaker implanted in 8 cases, atrial pacemaker in 1 case, double chamber atrial pacemaker in 1 case. Six patients had atrial fibrillation (AF) at stroke and one had paroxysmal AF. All 6 cases were implanted ventricular pacemaker. Six patients were on aspirin (325-975 mg / day) and one was on long-term warfarin treatment at the time of the stroke.