VƯỚC đầu TIẾN HÀNH kỹ THUẬT tạo NHỊP VĨNH VIỄN tại BỆNH VIỆN TRƯỜNG đại học y dược HUẾ

439
U TIN HÀNH K THUT TO NHN TI BNH VIN
I HC HU






 
trung bình là 64,7% ±12,8.
 

     
      
              
cardioverter def
 
 

 


SUMMARY
REVIEW 350 CASES UNDERWENT PERMANENT CARDIAC PACING AT HUE
CENTRAL HOSPITAL.
Obiects: Included 33 patients who were underwent cardiac pacing, men accounted for
54,54% of all, mean age is 64,7% ±12,8.
Indications for cardiac Pacing: most of these cases were complete AV block (42.4%), sinus
node dysfunction 27.3%, slow atrial fibrillation(3,0%), especially, we also paced for refractory
heart failure.

Pacing mode: single chamber pacing was mainly indicated (VVI,VVIR) (66,7%), dual
chamber pacing DDD, DDDR (9,1%). In particular, we have begun pacing CRT (cardiac
resynchronization therapy) for 8 cases and ICD (implantable cardioverter defibrillation therapy)
for 5 patients who had experienced a life-threatening ventricular rhythm disturbace.
Lead into: we all used subclavical vein.
Result: There is a significant improvement of quality of life and mortality after pacemaker
implantation, complications are rather varies but they often occur in the first cases.
Conclusion: cardiac paing technology has an important role that is indispensable for all hospital,
particuraly in emergency cardiovascular department , it need to be more interested and developed.









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

440


 

 




 ng
 


- 

- 

-  

- 
-  








<=60
>60

n
%
n
%
n

%

3
9,1
12
36,4
15
45,5
Nam
9
27,3
9
27,3
18
54,5

12
36,4
21
63,6
33
100




n
%

15

45,5

9
27,3

1
3,0

8
24,2

33 (100%)






Trung bình ± DS

62.05 ± 3,66 (ck/p)

1,17 ± 0,49 (V)

0.44 ±0.25 ms

267.14 ±63.37 ms

2.59 ± 0.22 mv

441



:
- 
- 
3.4.3. 
- 

suy tim thành công.



n
%
VVI (R)
21
63,7
DDD (R)
4
12,1
CRT (D*)
8
24,2
 xét: 









n
%
n
%
n
%
n
%
25
75,75
4
12,12
4
12,12
0
0
3.6. 
3.  - 




1 (3,03%)

1 (3,03%)


2 (6,06%)
 



4.1. 




442






 


     




 






 :
-  :


35% kèm theo Bloc nhánh trái hoàn toàn.
- 




- 




 
- 7
ngày.
- 





1. “Nhận xét
qua 350 trường hợp tạo nhịp vĩnh viễn tại Bệnh viện Trung Ương Huế”
2. ״Kết quả và nhận định qua 94 ca tạo nhịp vĩnh viễn״, 
-35.

3.   tim
,
-50.
443
4.  ״Khuyến cáo của Hội Tim mạch học Việt nam về chẩn đoán,
điều trị loạn nhịp tim ״, 
2006- 2010,tr.183-254.
5. Denise I.Janosik,Arthur J.Labovitz,1995,  Basic physiology of cardiac pacing ,Clinical
cardiac pacing,pp.371.
6. Linde-edelstam C, Hjemdahl P,1992,Is DDD pacing superior to VVIR, A study on
cardiac sympathetic never activity and myocardial oxygen consumtion at rest and during
exercise, Pace,15: 425-434.
7. Peter H.Belott,2001,    -and Dual-Chamber

8. Kenneth A,2001, inical Trials in Cardiac Pacing   
pp.781.
9. Raul D.Mitrani,2005,  Cardiac Pacemakers 