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KMID : 0352819930090010061
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Kosin Medical Journal
1993 Volume.9 No. 1 p.61 ~ p.70
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Chinical Review of Cardiac Pacemaker Implantation
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허강배
김수현/하현철/이재성/조성래/김송명 이재우
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Abstract
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Pacemaker therapy has been established as a routine procedure in a variety of desturbacces of cardiac rhythm.
cardiac pacing has greatly reduced the mortality rate in patients suffering from bradyarrhythmia complicated by Stokes-Adams attacks.During the period from Jan. 1990 to Feb. 1992 we 13cases implanted pacemaker in 12 patients at Kosin Medical
Center.
In 4 patients, open heart surgical induced heart block were developed and implantated permant pacemaker were done. 2 patients were post valve replacement, 1 patient was ASD closure, and 1 patient was partial AV canal defect total correction.
other 8 patients, suffering from Sick Simus Syndrome or complete heart block. Intraoperative implantation of pacemaker were 4case done. Other cases were all transvenous approached.
Pulse generator were 12cases of VVI type and one case of DDD type permant pacemaker.
complication were rare but 1 case was abdomimal muscle twitching but OPD follow up and spontaneouslly relieved, 1 case was post pacemaker implanted induced hemopneumothorax Lt. develo0ped and closed thoracostomy was done.
The results of immediate and late period were satisfactory.
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KEYWORD
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