Influence of Different Cardiac Pacing Modes on TCM Syndrome Manifestations and Hemodynamics of Sick Sinus Syndrome

CAO Ai-qin; YANG Guang

doi:10.13288/j.11-2166/r.2008.09.051

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Influence of Different Cardiac Pacing Modes on TCM Syndrome Manifestations and Hemodynamics of Sick Sinus Syndrome

更新时间：2021-11-17

- Influence of Different Cardiac Pacing Modes on TCM Syndrome Manifestations and Hemodynamics of Sick Sinus Syndrome
- Journal of Traditional Chinese Medicine Issue 9, Pages: 806-808(2008)
- 作者机构：
  
  广东省中医院心脏中心
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2008.09.051
  CLC： R259;R541.7
- Published：2008
- 稿件说明：
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[1]曹爱琴,杨广.起搏模式对病态窦房结综合征患者中医证候及血流动力学的影响[J].中医杂志,2008(09):806-808.

CAO Ai-qin, YANG Guang. Influence of Different Cardiac Pacing Modes on TCM Syndrome Manifestations and Hemodynamics of Sick Sinus Syndrome[J]. Journal of Traditional Chinese Medicine2008, (9): 806-808.
[1]曹爱琴,杨广.起搏模式对病态窦房结综合征患者中医证候及血流动力学的影响[J].中医杂志,2008(09):806-808. DOI： 10.13288/j.11-2166/r.2008.09.051.

CAO Ai-qin, YANG Guang. Influence of Different Cardiac Pacing Modes on TCM Syndrome Manifestations and Hemodynamics of Sick Sinus Syndrome[J]. Journal of Traditional Chinese Medicine2008, (9): 806-808. DOI： 10.13288/j.11-2166/r.2008.09.051.

摘要

目的探讨起搏器不同起搏模式对病态窦房结综合征患者中医证候的影响及其血流动力学机制。方法75例病态窦房结综合征患者在起搏器植入术前及术后1个月进行证候症状积分及血流动力学指标检查

比较不同起搏模式间证候症状积分及血流动力学指标的差异性。结果起搏器植入术后中医证候症状积分均低于手术前（P<0.05）。AAI起搏及DDD起搏对左室射血分数（LVEF）、每搏射血量（SV）、心排血量（CO）、心排血指数（CI）、左室舒张末容积（LVEDV）的改善与VVI起搏比较差异有统计学意义（P<0.05）

AAI起搏对CO、CI及LVEDV的改善与DDD起搏相比差异有统计学意义（P<0.05）。结论起搏器植入可改善病态窦房结综合征患者血流动力学及中医证候

而不同的起搏模式中

AAI起搏优于DDD起搏优于

VVI起搏

提示起搏治疗可通过血流动力学因素中CO、CI、LVEDV从而影响病态窦房结综合征的中医证候。

Abstract

Objective To evaluate the influence and mechanism of different cardiac pacing modes on TCM syndrome manifestations and hemodynamics of sick sinus syndrome（SSS）.Methods The 75 SSS patients were detected syndrome manifestation scores and hemodynamic parameters before operations and 1 month after pacing to compare the differences among the different cardiac pacing modes.Results After operations

the syndrome manifestation scores were all decreased（P < 0.05）.Compared with VVI group

the improvement of hemodynamic parameters was statistically significant in AAI and DDD groups in left ventricular ejection fraction（LVEF）

stroke volume（SV）

cardiac output（CO）

cardiac index（CI） and left ventricle end-diastolic volume（LVEDV

P<0.05）.Compared with DDD group

the improvement of hemodynamic parameters was statistically significant in AAI group in CO

CI and LVEDV（P<0.05）.Conclusion The TCM syndrome manifestations and hemodynamics of SSS patients can be improved by pacemaker.AAI pacing is better than DDD pacing and VVI pacing in exerting the influence on the TCM syndrome manifestations of SSS by improving CO

CI and LVEDV.

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