BƯỚC ĐẦU ĐÁNH GIÁ KẾT QUẢ CẤY MÁY TẠO NHỊP VĨNH VIỄN HAI BUỒNG Ở BỆNH NHÂN RỐI LOẠN NHỊP TIM CHẬM TẠI BỆNH VIỆN ĐA KHOA HÀ TĨNH

Abstract

Objective: Evaluate the efficiency of two-chamber implantation of a permanent pacemaker (MTNTVV). Subjects and methods: A prospective cohort study on 47 Patients diagnosed with delayed RLP with indication of two-chamber MTNTVV implantation underwent two-chamber atrial and right ventricular implantation under the light screen in the disease. General Hospital of Ha Tinh province from July 2017 to April 2019. Results: 47 patients with 30 men and 17 women, mean age 61.4 ± 11.9. Pathologies indicated to implant 2-chamber permanent pacemaker: level 2 and 3 atrioventricular block accounted for 42.6%; Sinus node failure syndrome accounted for 57.5%. The mean excitation threshold of the right atrial electrode should be 0.9 ± 0.2 V; of right ventricular electrode 0.5 ± 0.2 V. The mean left ventricular ejection fraction EF after 3 months of implantation was measured to be 57.3 ± 8.5. None of the patients had complications such as pericardial hemorrhage, pocket infection, and electrode failure. Conclusion: The 2-chamber MTNTVV culture technique is a safe, effective method, with a high success rate and low complications. When it is implemented successfully at the provincial level, it will help reduce the load on hospitals at higher levels.