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什么是心动过缓？
正常人心脏每分钟搏动60-100次，如果心脏传导系统发生异常，则可能引起心脏搏动低于50次/分，称之为心动过缓，如果您同时感到眩晕、疲劳、气促，甚至晕厥，建议您来医院就诊。
What is bradycardia?
A normal heart rate for adults is between 60-100 beats per minute. If the cardiac conduction system is impaired, it can result in the heart beating fewer than 50 beats per minute, and that is known as bradycardia. If you also experience dizziness, fatigue, shortness of breath, or fainting at the same time, visiting the hospital is recommended.
心动过缓的治疗？
Treatment for bradycardia?
药物治疗
Medical Treatment
只能临时应用，且疗效不确切
由于药物的副作用，不适合长期治疗
Only for temporary use, and moreover the curative effect is undetermined
Due to the side effects of medication, it is not suitable for long-term treatment
起搏器治疗
迄今为止，人工心脏起搏器是治疗心动过缓的唯一治疗方法。正是有了起搏器，使得患有心动过缓的病人可以期盼过上和正常人一样的生活。
Up until now, the artificial cardiac pacemaker has been the only way to treat bradycardia. It is with the artificial pacemaker that bradycardia patients can have the hope of living like a normal person.
人工心脏起膊器通过发出有规律的电脉冲使得心脏保持跳动。简而言之它是能让心脏跳动的力量之源。
The artificial cardiac pacemaker helps the heart maintain its beat by generating regular electric pulses. Simply put, it is the power source that can make a heart beat.
世界上最小的起搏器-Micra
Micra比传统起搏器小93％：是世界上最小的心脏起搏器,但它提供了一套完整的功能
•12.8年寿命
•1.5 T和3.0 T MRI兼容
•所有单腔起搏器的功能
•无伤疤
•无凸起
•患者无法感受到起搏器的存在
The world’s smallest pacemaker-Micra
Micra is 93% smaller than traditional pacemakers.
It is the world’s smallest pacemaker that boasts full functions.
• Lasts 12.8 years
• Compatible with 1.5T and 3.0T MRI
• Has all the functions of a single chamber pacemaker
• No scars
• No bump
• Patient will not notice the pacemaker is present
起搏治疗的现状
The current situation of pacemaker treatment:
手术死亡率几乎为零，在中国每年有近十万的患者植入起搏器。
Operative mortality rate is almost 0, with nearly 100,000 patients in China getting pacemaker implantations every year.
植入心脏起搏器本身是个微创手术，整个手术过程大概1－2小时，术后需在医院住院1周拆线。
Implanting a pacemaker is a minimally invasive surgery, and takes a total of approximately 1 – 2 hours. Hospital stay is required post-operation, and stitches are removed after a week.
什么情况下你需要安装心脏起搏器？
Under what circumstances should you have a pacemaker implanted?
有脑缺血症状的窦房结功能低下，II度II型房室传导阻滞、III度房室阻滞、高度房室传导阻滞以及慢-快综合征等缓慢型心律失常在排除可逆病因以后需要安装心脏永久起搏器
Under symptoms of sick sinus node syndrome (SSS), second degree type II AV block, third degree AV block, high-grade AV block, brady-tachycardia syndrome and other types of bradycardia, a permanent pacemaker needs to be implanted after eliminating reversible etiologies.
装上心脏起搏器这些事要注意：
患者不要靠近工作中的电磁理疗仪等，不宜做频谱或电磁波等理疗，但最新的兼容磁共振检查的起搏器在医生调整起博模式后可以进行磁共振检查。
Things to watch out for after having a pacemaker implanted:
Stay away from electromagnetic physiotherapy devices that are in operation; spectrum or electromagnetic therapies are not advised, but the latest magnetic resonance imaging (MRI) compatible pacemakers can go through MRI once a doctor adjusts the pacemaker mode.
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植入后初期
No.1
术后3天内，应平卧床上，少活动
For the first 3 days post-surgery, patient should lie flat on the bed and limit exercise.
为了避免起搏器导线脱位，术后1个月内应避免做类似高举手臂的动作
In order to avoid the pacemaker wire dislocating, try to avoid movements such as lifting the arm up high in the month after the procedure.
No.2
!
手术后生活提示
安装起搏器3个月后在体力允许的条件下，可以进行游泳、跑步、跳舞、外出旅行等活动。旅行时不要忘记带上起搏器识别卡，以便出现问题时，当地医生能了解您的情况。
Three months after implanting the pacemaker, if physical condition allows, you may swim, run, dance, travel, etc. When travelling, remember to bring your pacemaker identification card in case any problems occur, so that the local doctors can grasp your situation.
手机信号对心脏起搏器的干扰影响不大,但仍建议手机通话用手术对侧的手完成。
Mobile phone signals don’t interfere much with pacemakers, but we still suggest using the hand opposite to your operated side when making calls.
起搏器患者需要定期复查
随访频率：一般会在术后一周、一个月、三个月、六个月各进行一次随访。后续每年一次随访，临近更换增加随访频率。
Patients with pacemakers need to have regular checkups
Follow-up frequency: normally one week, one month, 3 months, and 6 months post-surgery. After that, once a year, with increased frequency closer to replacement date.
上海市同仁医院近3年来已经完成了700多例心脏起搏器植入手术，为心律失常的患者带来了福音。
相信同仁，相信我们的专家，如果您有以上病症，请立即来我们这里，我们有专家为您检查，评估，给您最及时的帮助。
In the past 3 years,Tongren Hospital has successfully completed over 700 pacemaker implantations, bringing good news to patients with arrhythmia.
Believe in Tongren, believe in our experts. If you have the above symptoms, please come to us immediately. We have experts who will examine and evaluate you and provide timely assistance.
专家介绍
邱朝晖 心血管内科 主任医师博士
Zhaohui Qiu Cardiovascular Chief PhysicianPh.D,MD FHRS
硕导
Master Tutor
对心血管常见及疑难疾病诊治有丰富的经验
More experience in diagnosis and treatment of common and difficult cardiovascular diseases
擅长：
Specialties:
1、冠心病介入诊断与治疗
Interventional diagnosis and treatment of coronary heart disease
2、永久性心脏起搏器植入
Permanent pacemaker implantation
3、心力衰竭的药物和器械治疗
Medicine and device therapy for heart failure
4、高血压病的诊治
Diagnosis and treatment of hypertension
供稿：心血管内科邱朝晖
编辑和翻译：何濛濛
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