(Pacemaker)

(2000) 1500~2000

pulse generator
electrode
lead

()pulse generator

(pacing)(sensing)
(output)(sense)
(hysteresis)(threshold tests)
(1999)
1

()electrode
permanent pacemaker
PPM
8 12
(Sager1992)
(Steroid-Eluting Leads)(Barold
Zipes,1997)
()lead

(Unipolar)(Bipolar)
PPM J (
2001)

(anti-tachycardisc pacing)
(paryoxysmal
supraventricular tachycardias)
(Impl-antable
Cardioverter Defibrillator)(1999)
2


1974 Inter-society Commission on Heart Disease Resources(ICHD)

1981 ()(1999)

()VVI

()VVIR

()AAI

()AAIR

()VDD

()DDD

20-30%
()DDDR

()CRT-DDDR


I
II
Chamber paced Chamber senaed

V
A
D
Vventricle
Aatrium
Ddual
Onone

III
IV
V
Programmable Anti-tachy
Modes of
response
functions function

V
T
P
B
A
I
M
N
D
D
C
S
O
O
R
E
Ttriggered
Mmulti-prog
Bbursts
Iinhibited
Ccommunicating
Nnormal rate
Comperitio
Ddouble
Rrate adaptive
n
Psingle
Sscanning
Programmable
Eexternal

()
()(venous thrombosis)
(pulmonary embolism)
(1999)
()(Pacemaker syndrome)
(VVI)

(1999)
()

()

15
1 5
(Schulmeister,1998)
()

()
PPM 24-48
3~5

 25 (5 )
(Sager,1992)
(StewartSheehan,1991)

()

(Schulmeister,1998)

(KusumotoGoldschlager,1998)
()

(Kusumoto
Goldschlager,1998 Schulmeister,1998)(1)
6

 PPM
(2001) (2) (3)
PPM
(4)(5) PPM
VOO

(Transcutaneous Pacing)

61 3 11/29

EKG show: junctional rhythm and 1 A-V block

11/30 cath data : 1 A-V block Pacemaker12/1

Pacemaker VVIRrate: 60output:3.5sense: 2.8 F/U EKG:
normalCXR: normal EKG monitor sening and pacing alt run
12/3 PPM
24-48
5

 PPM

12/5 Pacemaker


(1999)

44 ( 6 )426-428
(2002)

1 ( 2 )96-107
(2001)

12 ( 1 )59-62
(2001)

(
()(965-968 )
Barold, S. S.,& Zipes, D. P.(1997). Cardiac Pacemakers and
antiarrhythmic devices. In E.Braunwald (Ed), Heart disease (pp.705-741).
Philadelphia: W. B. Saunders.
Kusumoto, F. M., & Goldschlager, N. (1998). Unusual complications
of cardiac pacing. In S. S. Barold, & J. Mugica(Eds.), Recent advances
in cardiac pacing(pp.237-279). New York: Futura.
Sager, D. P. (1992). The person with an artificial cardiac pacemaker.
In C. E. Guzzetta, & B. M. Dossey(Eds.), Cardiovascular nursing: Holistic
practice(pp.486-540). St. Louis: Mosby Year Book.
Schulmeister, L. (1998). Pacemakers & environmental safetv. Nursing,
98(7), 58-61.
Stewart, J. V., & Sheehan, A. M. (1991) Permanent Pacemakers: The
9

nurses role in patien education and follow-up care. The Journal of

Cardiovascular nursing, 5(3), 32-43.

PPM OOO

10