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扩张型心肌病(DCM)可伴有严重缓慢型心律失常,导致心排血量降低,诱发、加重心衰或发生晕厥、阿斯综合症,当药物提升心室率无效时,需要采用永久心脏起搏器治疗。由于DCM具有特殊的病理解剖学改变,起搏器治疗过程中会出现相应的一些问题,本文报告实践体会并略加讨论。临床资料我院安置永久心脏起搏器101例中,有11例病因系DCM,男7例,女4例。埋置心脏起搏器时年龄34～70(平均49)岁。心脏中度增大7例,重度增大4例。心功能Ⅱ级9例、Ⅲ级2例。起搏器安置的适应症是病窦综合症(6例,均属慢快型)、房
Dilated cardiomyopathy (DCM) can be accompanied by severe, slow-onset arrhythmias, leading to reduced cardiac output, induced, worsening heart failure or syncope, Aspergillus syndrome, and permanent heart lifting when medications raise ventricular rate do not work Pulse therapy. Due to the special pathological anatomy of DCM, there are some problems in the process of pacemaker treatment. This paper reports the practical experience and gives a brief discussion. Clinical data Our hospital placed permanent pacemaker in 101 cases, 11 cases of cause of DCM, 7 males and 4 females. Age 34 to 70 (average 49) years old with pacemaker. Moderate increase in heart 7 cases, severe increase in 4 cases. Grade Ⅱ heart function in 9 cases, Ⅲ grade in 2 cases. Indications for placement of pacemaker sick sinus syndrome (6 cases, are slow type), room