Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

Zapytanie: ŁAKOMSKI
Liczba odnalezionych rekordów: 1



Przejście do opcji zmiany formatu | Wyświetlenie wyników w wersji do druku

1/1

Tytuł oryginału: Atrial pacing of transplanted heart.
Autorzy: Kutarski Andrzej, Zakliczyński Michał, Oleszczak Krzysztof, Wojarski Jacek, Foremny Jerzy, Kuśnierz Jacek, Jaworska Maria, Puszczewicz Dariusz, Łakomski Bogdan, Kalarus Zbigniew, Religa Zbigniew, Widomska-Czekajska Teresa, Zembala Marian
Źródło: Ann. Transplant. 2002: 7 (2) s.18-27, il., tab., bibliogr. 20 poz.
Sygnatura GBL: 313,259

Hasła klasyfikacyjne GBL:
  • kardiologia
  • transplantologia

    Typ dokumentu:
  • tytuł obcojęzyczny
  • praca kliniczna

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Orthotopic heart transplantation (OHT) is most effective method for treatment of irreversible heart failure. Pateitns after OHT considered for permanent pacing consist still present a challenge for the implanting physician due to distorted atrial geometry and specific electrophysiological conditions of atrium. The aim of our study was to analyse the effectiveness of permanent atrial pacing in these patients. Patients and method. We implanted atrial lead in 37 SND pts., 2 months - 7 years after OHT, (3 pts with coexisting AV block received ventricular lead). Only straight BP screw in leads and manually formed stylets were used; we found satisfactor pacing/sensing conditions in 25 pts in RA appendage or anterior/lateral wall, in 10 pts - in CS ostium region and in 2 - in proximal part of CS. Results. Allimplantations were successful and no patient received WI pacing system. One dislodged lead required revision (1/37, 3 p.c.) but this was not related to endomyocardial biopsy. In 2 pts, due to nacceptable low RA potential and/or high PTh values atrial lead was implanted to CS for sensing/pacing of left atrium. The average acute value of A wave were 2,4 mV and chronic 2,2 mV; values of pacing threshold were 0,9 V and 1,6 V respectively. Only in 13/37 pts native A waves were recorded but with amplitude 0,6 mV. Wenckebach point was 120/min only in 2 pts., in borders 130-160 bpm in 15 pts. and exceeded 170 bpm. in remained 20 pts. Retrograde VA conduction was intact in 33/37 pts, but in 4 pts exceeded 260/min...

    stosując format: