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. 心脏起搏器基础教程[M]. 郭继鸿,张玲珍,李学斌,主译. 天津:天津翻译科技出版公司, 2008:33-37.
3. 梁锦军, 黄鹤, 杨波, 等. 生理性起搏器治疗患者基本情况的变化趋势(1999-2007)[J]. 中华心律失常学杂志, 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. 李洁, 高树军, 王冬梅, 等.心理干预对起搏器携带者临床症状的影响[C]//第十三次全国心血管病学术会议论文集, 哈尔滨, 2011. 北京:中华医学会心血管病分会, 2011:57-58.
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8. 张建凤, 李志菊, 王惠明, 等. 社区护理干预对合肥市空巢老人生活质量的影响[J]. 中华护理杂志, 2011, 46(6):548-551.
9. 刘学员, 阳丽华, 赵蕾, 等. 日常生活能力对老年人身心健康的影响[J]. 中国老年学杂志, 2009, 29(1):92-94.
10. 李继文, 邵丹, 蒋萍, 等. 永久起搏器植入术后早期功能锻炼的临床研究[J]. 中国心脏起搏与心电生理杂志, 2012, 26(1):44-47.
11. 林运, 刘欣, 孟康, 等. 693例永久起搏器置入相关并发症及预防措施[J]. 中华医院感染学杂志, 2011(13):2702-2703.
12. 蔡春琴, 张凤菊. 永久心脏起搏器植入后囊袋血肿的护理[J]. 吉林医学, 2011, 17(6):553-556.
13. 梁锦军, 黄从新, 杨波. 生活质量评价在心血管疾病中的应用[J]. 心血管病学进展, 2008, 29(3):466-469.
14. 林文华, 邸成业. 起搏器阈值自动管理[J]. 中国心脏起搏与心电生理杂志, 2012, 26(1):3-6.
15. 李晓燕, 谈红, 刘科卫, 等. 国产心脏起搏器Qinming 2312S/M临床应用的研究[J]. 中国心脏起搏与心电生理杂志, 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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