title: [Modern cardiac pacing. I. Dual-chamber pacemakers: 10 years' experience].
abstract: Dual chamber cardiac pacemakers restoring an impaired atrioventricular synchrony meet a demand of contemporary so-called physiologic cardiac pacing. 39 dual chamber (DDD) pacers were implanted in 1982-1991 in our center. They improved both well-being and hemodynamic values (doppler echocardiography) more distinctly than common ventricular demand devices did. P-wave driven ventricular pacing in normal sinus node function (in 40 per cent of our DDD patients) made a frequency response in physical exercise possible. A short atrioventricular delay in DDD pacing proved to be helpful in the treatment for reentry tachycardias refractory to antiarrhythmic drug administration. Demanding implant, high price, lengthy programming as well as a higher incidence of complications (30.7 per cent) as compared to ventricular pacemakers (7.6 per cent) were the main problems of DDD ones.
authors.affiliation: II. interní klinika 1., LF UK, Praha.
authors.forename: M
authors.initials: M
authors.lastname: Novák
authors.forename: M
authors.initials: M
authors.lastname: Psenicka
authors.forename: M
authors.initials: M
authors.lastname: Smola
authors.forename: V
authors.initials: V
authors.lastname: Vondrácek
authors.forename: M
authors.initials: M
authors.lastname: Kucera
authors.forename: J
authors.initials: J
authors.lastname: Tosovský
mesh_terms: D000328:Adult; D015150:Echocardiography, Doppler; D015716:Electrocardiography, Ambulatory; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial
vernacular_title: Moderní kardiostimulace. I. Dvoudutinové kardiostimulátory: desetileté zkusenosti.