Author/Editor		Pehnec, Zlatko; Svenšek, Franc
Title		Značilnosti bolnikov s srčnim spodbujevalnikom v ambulantni praksi
Translated title		Characteristics of patients with pacemaker in outpatient practice
Type		članek
Source		74267393
Publication year		2013
Volume		str. 164-168
Language		slv
Abstract		Namen našega prispevka je ugotoviti demografske značilnosti bolnikov s srčnim spodbujevalnikom, njihove fizične in psihične sposobnosti, kakovost življenja ter osnovne nastavitve, meritve, zaplete in druge podatke o spodbujevalniku, ki smo jih pridobili v retrospektivni študiji vseh ambulantnih bolnikov UKC Maribor (n=1694) v letu 2011. Bolniki s srčnimi spodbujevalniki predstavljajo starejšo populacijo povprečne starosti 76 let, v kateri je moških nekoliko več, ženske pa so v povprečju starejše. Najpogostejše spremljajoče bolezni teh bolnikov so arterijska hipertenzija (68,2%) in različne stopnje srčnega popuščanja (52,5%), sledita jima sladkorna bolezen (17,9%) ter preboleli srčni infarkt (13,0%) in možganska kap (11,1%). Dobra polovica bolnikov je prejela srčni spodbujevalnik zaradi AV bloka II in III stopnje (52,9%), sledita AF s bradikardijo (28,3%) in bolezen sinusnega vozla (16,3%). Večina bolnikov (52,3%) je prejela dvokomorne srčne spodbujevalnike (DDD/R, VDD/R) . Bolniki, ki imajo lastni prekatni utrip pod 30/min (19,1%), zahtevajo večjo pozornost in pogostejše kontrole. Trajanje nadprekatnih aritmij (AF/AU) je večinoma kratkotrajno (<1 ure), vendar so pri nekaterih bolnikih novonastale AF daljše ali trajne. Kljub visoki starosti bolnikov, naglušnosti, slabovidnosti in demenci, ima velika večina bolnikov s srčnim spodbujevalnikom še dobre fizične in psihične sposobnosti, kar jim omogoča aktivno, samostojno življenje.The purpose of our paper is to determine the demographic characteristics of patients with pacemaker, their physical and mental fitness, quality of life, and the basic settings, measurements, complications and other information about the pacemaker, which was obtained in a retrospective study of all outpatients UKC Maribor in 2011. Patients with pacemaker are older population mean age of 76 years, slightly more men, women are on average older. The most common associated diseases in these patients, arterial hypertension (68.2%) and varying degrees of heart failure (52.5%), followed by their diabetes (17.9%) and acute myocardial infarction (13.0%) and stroke (11.1%). More than half of the patients received a pacemaker for AV block II and III degree (52.9%), followed by AF with bradycardia (28.3%) and sick sinus syndrome (16.3%). Most patients (52.3%) received dual chamber pacemakers (DDD / R, VDD / R). Patients who have their own ventricular rate below 30/min (19.1%) require more attention and more frequent control. Duration of supraventricular arrhythmias (AF / AFL) is mostly short-term (<1 hour), but in some patients, the newly AF are extended or permanent. Despite the advanced age of patients, the presence of deafness, visual impairment and dementia, the vast majority of patients with pacemaker have good physical and mental ability which allows them active and independent livestyle.
Keywords		srčni spodbujevalnik spremljajoče bolezni kvaliteta življenja