06 变时性功能不全的起搏治疗PPT.pptVIP

Phase II Sick Sinus Part II * Phase II Sick Sinus Part II * * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally 变时性功能不全的起搏治疗 波士顿科学，于鹏 *Chronotropic competence is defined by the Model of the Cardiac Chronotropic Response to Exercise, Wilkoff et al. A mathematical model of the cardiac chronotropic response to exercise. Journal of Electrophysiology 1989:3: 176-180. Refer to the Physicians System Guide for more information on adaptive-rate therapy. Additional clinical performance was assessed using INSIGNIA Ultra clinical data with the AutoLifestyle feature programmed On. Data on file*. Boston Scientific Corporation. ALTRUA 60 Pacemaker System Guide. 2008. pg 1-28 直方图 Note: Individual symptoms, situations, circumstances and results may vary. Patients should consult a physician or qualified health provider regarding their medical condition and appropriate medical treatment. The information provided is not intended to be used for medical diagnosis or treatment or as a substitute for professional medical advice. This information is to be used in conjunction with other resource material, which may include the applicable patient handbook, device physician’s manual, and any implant accessories instructions for use. 你对这个直方图作何分析? 有什么建议? 什么是变时性功能不全？有什么危害？ 变时性功能不全(CI)是_______ 适应证1 变时性功能不全在患者植入起搏器后的发生率约为_________% 2,3 变时性功能不全是不断进展、恶化的4: 患者植入起搏器后2年内: 53% 患者植入起搏器4年后: 70% 1 /qualityandscience/clinical/guidelines/dbt/DBT_Pocket_Guide.pdf for full ACC/AHA/HRS 2008 guidelines 2 Coman et al, “A Blended Sensor Restores Chronotropic Response More Favorably than an Accelerometer Alone in Pacemaker Patients”, PACE, p. 1433-1442, Nov 2008:31 3 Lukl J, Doupal V, Sovava E, et al. Incidence and significance of chronotropic incompetence in patients indicated for primary pacemaker implantation or pacemaker replacement. PACE.