右室心尖部起搏对左室电机械活动的影响.pdfVIP

496 中国心脏起搏与心电生理杂志 2008年第 22卷第 6期 1a 1b 1a 1a 1a 1a 1a 2 任学军 张烨 韩智红 汪烨 杜慧峰 张金荣 陈方 郭继鸿 [ ] , ; 28 , 7VV I (Tei ) (Ts-SD) 64. 2% , ; Ts-SD( 40. 10 18. 50 m s vs 29. 96 18. 87 m s, P = 0. 0 4) ; Tei( 0. 49 0. 2 vs 0. 8 0. 21, P 0. 01); Ts-SD (OR = 1. 079, P = 0. 029) , [ ] ; ; ; + R 18. 11 R540. 4 5 A 1007- 2659( 2008) 06- 0496- 0 1a Effects of right ventricular pacing on intra-left ventricular mechanica l activation in patients. REN Xue-jun , 1b 1a 1a 1a 1a 1a 2 ZHANG Ye , HAN Zh-i hong , WANG Y e , DU Hu i-feng , ZHANG Jin-rong , CHEN Fang , GUO J-i hong . 1 a Depart- m ent of Cardiology, b Departm ent of Echocard iology, Affiliated Beijing Anzhen H osp ital of Cap italUn iversity ofM ed ical Sc-i ence, Beijing Institu te ofH eart Lung and Blood VesselD isease, Beijing 100029, Ch ina; 2 Peop lesH ospital of Beijing Un-i versity, Beijing 100044, Ch ina [ Abstract] Objective To evaluate whether pacing from the right ventricu lar( RV) apex affects the tissue Doppler pa- rameters of intra-left ventricular( LV) m echanical m otion compared w ith spontaneous rhythm values and to assess whether the extent of intra-LV asynchrony during RV pacing can be pred icted by clinical, electrocard iograph ic or echocardiograph ic find ings obtained during spontaneous rhythm. M ethods Tw enty-eight patientsw ere studiedw ith narrow QRS ( 110m s) and preserved atrioventricu lar conductionw ho had received perm anent DDD pacem akers due to s ick sinus syndrom e. Each pa- tient underw ent a comp lete standard e