ECG diagnostic analysis of pacemaker-induced rapid arrhythmias / 心血管康复医学杂志

ABSTRACT

Objective:To explore diagnostic effects of 24h dynamic electrocardiogram (DCG) on pacemaker-induced rapid arrhythmias of different locations.Methods: Clinical data of 86 patients, who received pacemaker implantation in our hospital from Feb 2013 to Jan 2016, were retrospectively analyzed.According to ventricular electrode placement location, patients were divided into right ventricular septum (RVS) pacing group (RVS group, n=43) and right ventricular apex (RVA) pacing group (RVA group, n=43).The Tp-Te interval and occurrence of arrhythmias detected by 24h DCG were recorded and compared between two groups.Results: All patients received pacemaker implantation successfully, and pacemaker was fixed on RVS or RVA.There were no significant difference in pacing threshold, impedance and R wave amplitude between two groups, P>0.05 all.Compared with RVA group, there were significant reductions in Tp-Te intervals of V3 lead [(102.78±19.24)ms vs.(94.39±18.56)ms] and V4 lead [(96.39±13.11)ms vs.(85.87±14.59)ms] in RVS group (P=0.001 both).There were no significant difference in incidence rates of sinus arrest, II° sinoatrial block, atrioventricular block, atrial premature beats, transient paroxysmal atrial tachycardia and ventricular premature beats between two groups (P>0.05 all).Conclusion: The 24h DCG indicates that compared with RVA pacing, the Tp-Te interval of RVS pacing group significantly shorten, it may can better protect cardiac function.