Application and nursing of right ventricular outflow tract high septum pacing
10.3760/cma.j.issn.1674-2907.2011.03.023
- VernacularTitle:右心室流出道高位间隔部起搏的应用及护理
- Author:
Min XU
1
;
Chun-Heng GAO
;
Jun-You CUI
;
Hua ZHANG
;
Quan-Zhong YIN
;
Hong-Zhen LIU
Author Information
1. 214400,江苏省江阴市人民医院心内科
- Keywords:
Cardiac pacing,artificial;
Nursing;
Right ventricular outflow tract high septum
- From:
Chinese Journal of Modern Nursing
2011;17(3):306-308
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and nursing strategy of active-fixation lead in patients with right ventricular outflow tract high septum ( RVOTHS)pacing. Methods Forty patients were divided into two groups randomly and use VVI pacing mode. One group underwent the right ventricular outflow tract high septum(RVOTHS) with the active fixation lead. The other group underwent the right ventricular apex (RVA)pacing with the passive-fixation lead. The parameters and complication after operation of two groups were recorded and compared accordingly. Results Operations went smoothly with few complications in two groups.The active-fixation lead group had one wire dislocation. while the passive-fixation lead group also had one. There was no serious complication during all operations. The exposure time during operation for RVOTHS prolonged obviously (t=4.036,P＜0.01). The comparative difference of ventricular spacing threshold , feeling threshold and electrode impedance between the two groups during operation had no statistic meaning (P＞0.05), the pacing electrocardiogram QRS wave width of RVOTHS team was more narrow than that of RVA team, but the difference has no statistical meaning (t = 1. 613, P ＞ 0. 05 ). Conclusions It is safe and feasible to pace in RVOTHS with active electrode. The complication after operation can be well decreased by nursing care and individual nursing.
