生理性起搏的新进展

ationindicatesrate-responsivepacemakersimplantedinallpatients.EpsteinA,etal.ACC/AHA/HRS2008GuidelinesforDevice-BasedTherapyofCardiacRhythmAbnormalities.JAmCollCardiol2008;51:e1–62.Figure3.(tablecontinues)CharacteristicsMOSTUK-PACE起搏适应征SNDAVB随机入组病人数20102021平均随访(years)2.83起搏模式DDDRvs.VVIR*DDD(R)vs.VVI(R)相比心室起搏生理性起搏在以下方面具有优势:生活质量和功能状态YesNA心衰MarginalNo房颤YesNo中风及栓塞NoNo死亡率NoNo病人交叉及退出VVIR*toDDDR*:37.6%VVI(R)toDDD(R):3.1%DDD(R)dropout:8.3%SNDindicatessinusnodedysfunction,AVB=atrioventricularblock,AAI=atrialdemand,VVI=ventriculardemand,andDDD=fullyautomatic.R*addedtopacingmodedesignationindicatesrate-responsivepacemakersimplantedinallpatients.EpsteinA,etal.ACC/AHA/HRS2008GuidelinesforDevice-BasedTherapyofCardiacRhythmAbnormalities.JAmCollCardiol2008;51:e1–62.Figure3.AHA/ACC/HRS2008对5个大型随机临床试验进行分析(2)