2006•Journal of Practical Medical TechniquesRequires access
The Value of Ambulatory Electrocardiogram in Pacemaker Follow-up
Xiaoxia Feng
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Abstract
Objective To study the value of ambulatory electrocardiogram in pacemaker follow-up.Methods 42 patients were received 24-hour ambulatory electrocardiogram monitoring.Pacing or sensing abnormalities and pacemaker- related arrhythmias were analyzed.Results Pacemaker sensing dysfunction was found in 14 patients and pacing dysfunction in 2 patients.Of these 14 patients with sensing dysfunction,10 patients were over sensing and the other 4 patients were under sensing.Only 2 patients with sensing dysfunction were found in ECG.Pacemaker related arrhythmias were found in 19 patients.After adjusted the corresponding parameters of the pacemakers according to the DCG monitoring results,sensing abnormalities disappeared in part of them.Conclusion These findings suggest that DCG monitoring be superior to other techniques in terms of finding both symptomatic and asymptomatic dysfunction of pacemaker pacing or sensing.