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1. 中山医科大学附属第三医院
2. 山医科大学附属第一医院
3. 广东省人民医院
Published:01 November 1995
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[1]程木华,曾世荃,尹滔业,梁宏,胡平,陈棠华.应用泵血参数评价起搏器起搏效应的初步探讨[J].核技术,1995(11):668-672.
Cheng Muhua. Evaluating the pacemaker effect with the pump parameter of gated blood-pool imaging[J]. Nuclear techniques, 1995, (11).
对13例正常人,27例心室起搏器(其中14例VVI型,13例VVIR型)患者进行门控心血池显像。结果表明:应用泵血参数能较好地反映起搏器的治疗效果.心室射血功率(EMP)与心室每搏量和心室前后负荷均呈明显相关;安装心室起搏器后,左室EF没有明显提高,但CO、EMP明显改善;在应激状态下VVIR的起搏效应明显优于VVI型起搏器;应用起搏器体外抑制的方法,可保持同一条件下用门控心血池显像观察安装起搏器后患者的起搏与非起搏时心功能的变化,并能够监测安装起搏器后一定时期心脏自身功能状态.
normal controls and 27 patients with ventricular pacemaker had undergone planar gated blood-pool imaging in different conditions. Result shows: (1) Pump parameters can successfully reflect theraupeutic effect of pacemaker among them EMP is the most valuable parameter for evaluating the cardiac pumping effect. (2)After implantation of the ventricular pacemaker
the LVEF didn’t increase
but the CO and EMP was significantly increased.(3)Compared with right ventricular demand pacemaker
the rate-responsive ventricular pacemaker give better hemodynamic benifit at exercise condition.(4)Through restrained cardiac pacemaker the functional change was analyzed on or off pace
and monitoring the cardiac function itself after the pacemaker was implanted.
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