腔内心电图储存功能双腔起搏器的临床随访

目的：探讨具有腔内心电图储存功能（stored EGMs）的双腔起搏器对房性快速心律失常诊断和疗效评价的临床应用。方法：选择20例植入stored EGMs功能起搏器患者，观察1个月房性快速心律失常的记录情况，根据储存的腔内心电图进行分析诊断和药物治疗，了解经过1个月药物治疗后腔内心电图和自动模式转换（AMS）发生次数的变化。结果：经药物治疗后，房性快速心律失常和自动模式转换（AMS）发生次数明显减少分别为111vs367，P〈0.05；82vs138，P〈0.05）。结论：通过对腔内心电图的分析，其结果可以作为临床用药和疗效判断的参考依据。

Clinical Observation of Dual Chamber Pacemaker With stored EGMs

Objective: To evaluate the effct of detective function for atrial tachyarrhythmias by the pacemaker with stored EGMs function.Methods: 20 patients implanted dual chamber pacemakers with Stored EGMs were selected,and AMS functions were followed up.Stored EGMs Records and AMS Histograms in a month were studied before/after clinical treatment.Results: After clinical treatment,based on the analysis of Stored EGMs,the episodes of atrial tachyarrhythmias and AMS were significantly reduced(111 vs 367,P<0.05;82vs138,P<0.05).Conclusion: The patients with atrial/ventricular tachyarrhythmias could be treated with medicine through the analysis of Stored EGMs.