天津医药

• 论著 •    

最小化心室起搏的两种策略比较研究

丁军1,吴尚勤1,孙姗1,程爱娟1,李鹏，2   

  1. 1. 天津市胸科医院
    2. 天津市胸科医院内7科
  • 收稿日期:2011-03-09 修回日期:2011-07-16 出版日期:2012-01-15 发布日期:2012-01-15
  • 通讯作者: 丁军

Comparison of Two Strategies to Minimize Ventricular Pacing

  • Received:2011-03-09 Revised:2011-07-16 Published:2012-01-15 Online:2012-01-15
  • Contact: Jun DING

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摘要： 目的:心室起搏管理（MVP managed ventricular pacing）和自动房室搜索+（Search AV+）是有代表性的两种最小化心室起搏的算法，本研究比较两种算法减少因病窦综合征植入起搏器患者心室起搏比例的效能。方法:因病窦综合征植入起搏器患者随机分为MVP组和Search AV+组，植入起搏器1月后比较心房、心室起搏比例。结果:MVP组较Search AV+组心室起搏比例中位数显著减少（0.3%vs3.1%，P<0.01），心房起搏比例无统计学差异。结论: 因病窦综合征植入起搏器患者应用MVP算法较Search AV+算法可进一步减少心室起搏。

关键词: 起搏器, 最小化心室起搏, 心室起搏管理, 病窦综合征, 房室阻滞

Abstract: Objective: Managed ventricular pacing (MVP) and Search AV+ are representative dual-chamber pacing algorithms for minimizing ventricular pacing(VP). This study is to examine the difference in ability to reduce percentage of VP in patients of sick sinus syndrome who have been planted with pacemaker between these two algorithms. Methods: Subjects were randomly divided into the MVP group and Search AV+. The percentages of ventricular pacing of the patients were compared one month after planting pacemaker. Results: The median of percentages of VP were lower during the MVP operation than that during the Search AV+（0.3% vs 3.1%，P<0.01）. The percentages of atrial pacing have no significant difference between two groups. Conclusions: Managed ventricular pacing algorithm, compared with Search AV+, offers further percentage of VP reduction in patients of sick sinus syndrome with a dual-chamber pacemaker.

Key words: pacemaker, minimizing ventricular pacing, managed ventricular pacing, sick sinus syndrome, atrioventricular block