Comparative Study of the Effects between Innovative and Conventional Approach of Follow-up after Permanent Pacemaker Implantation_West China Medical Journal

Authors：

 ZHENGMing-xia ,  YOUGui-ying , CHUNing , RENYu-ying , WANGYa-li , YANGYang , GUTao

Department of Cardiovascular Medicine, West China Hospital, Sichuan Univerity, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YOUGui-ying, Email: guiying_you@163.com

Keywords：

Permanent pacemaker; Conventional follow-up; Innovative follow-up; Effect comparison

DOI：

10.7507/1002-0179.20140581

Video：

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Objective To explore the efficacy of an innovative approach of follow-up in patients implanted with permanent pacemaker (DDD). Methods A total of 400 patients who underwent permanent pacemaker (DDD) implantation between June 2011 and June 2013 were included in the present study. Patients were randomly assigned to the innovative and conventional follow-up groups in a 1：1 manner (200 patients in each group). The baseline characteristics were well balanced with no statistically significant differences in the mean age, proportion of male sex, prevalence of hypertension, position of the electrode or the device used between the two groups. At the end of the follow-up, patient outcomes were compared between the two groups. Results The outcomes of patients were better in the innovative follow-up group, with higher degree of satisfaction, better state of health, lower incidence of complications, and less frequent readmission and follow-up visits (all P<0.05). Conclusion The innovative approach of follow-up considerably improves patient outcomes, and can be useful in future clinical practice.

Citation： ZHENGMing-xia, YOUGui-ying, CHUNing, RENYu-ying, WANGYa-li, YANGYang, GUTao. Comparative Study of the Effects between Innovative and Conventional Approach of Follow-up after Permanent Pacemaker Implantation. West China Medical Journal, 2014, 29(10): 1927-1929. doi: 10.7507/1002-0179.20140581 Copy

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2. Kenny T. 心臟起搏器基礎教程[M]. 郭繼鴻,張玲珍,李學斌,主譯. 天津:天津翻譯科技出版公司, 2008:33-37.
3. 梁錦軍, 黃鶴, 楊波, 等. 生理性起搏器治療患者基本情況的變化趨勢(1999-2007)[J]. 中華心律失常學雜志, 2008, 12(1):48-49.
4. Kennergren C, Bjurman C, Wiklund R, et al. A dingle-centre experience of over one thousand lead extractions[J]. Europace, 2009, 11(5):612-617.
5. 李潔, 高樹軍, 王冬梅, 等.心理干預對起搏器攜帶者臨床癥狀的影響[C]//第十三次全國心血管病學術會議論文集, 哈爾濱, 2011. 北京:中華醫學會心血管病分會, 2011:57-58.
6. Biffi M, Bertini M, Saporito D, et al. Actual pacemaker longevity:the benefit of stimulation by automatic capture verification[J]. Pacing Clin Electrophsiol, 2010, 33(7):873-881.
7. Lotze U, Fischer S, Hoefs T, et al. Electrical performance and automatic capture characteristics of a 3.5 mm² passive fixation lead during 1 year follow up[J]. Pacing Clin Electrophysiol, 2009, 32(8):1050-1055.
8. 張建鳳, 李志菊, 王惠明, 等. 社區護理干預對合肥市空巢老人生活質量的影響[J]. 中華護理雜志, 2011, 46(6):548-551.
9. 劉學員, 陽麗華, 趙蕾, 等. 日常生活能力對老年人身心健康的影響[J]. 中國老年學雜志, 2009, 29(1):92-94.
10. 李繼文, 邵丹, 蔣萍, 等. 永久起搏器植入術后早期功能鍛煉的臨床研究[J]. 中國心臟起搏與心電生理雜志, 2012, 26(1):44-47.
11. 林運, 劉欣, 孟康, 等. 693例永久起搏器置入相關并發癥及預防措施[J]. 中華醫院感染學雜志, 2011(13):2702-2703.
12. 蔡春琴, 張鳳菊. 永久心臟起搏器植入后囊袋血腫的護理[J]. 吉林醫學, 2011, 17(6):553-556.
13. 梁錦軍, 黃從新, 楊波. 生活質量評價在心血管疾病中的應用[J]. 心血管病學進展, 2008, 29(3):466-469.
14. 林文華, 邸成業. 起搏器閾值自動管理[J]. 中國心臟起搏與心電生理雜志, 2012, 26(1):3-6.
15. 李曉燕, 談紅, 劉科衛, 等. 國產心臟起搏器Qinming 2312S/M臨床應用的研究[J]. 中國心臟起搏與心電生理雜志, 2013(1):11-12.

West China Medical Journal

Comparative Study of the Effects between Innovative and Conventional Approach of Follow-up after Permanent Pacemaker Implantation

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