近年来美国对永久性心脏起搏器可能存在滥用的问题引起过争论。1983年初 Sche-rlis 和 Dembro 对这一看法提出反驳意见,而 Parsonnet 等于1983年对这一争论予以评述。作者认为评价这一观点的一个方法是取得后期的随访资料——患者对自己起搏治疗的反应如何?患者陈述的结果可能被批评为是主观的,然而公众对一种治疗措施价值的基本认识将是重要的。我们给连续登记在案的300位埋植起搏器患者发了调查表,以了解:(1)针对原先的起搏指证是否获得最初预期的效果;(2)是否有伴发病改变起搏的预期作用;以及(3)患者 In recent years, the United States has caused controversy over the potential abuse of permanent pacemakers. Sche -lislis and Dembro, in early 1983, rejected this view, and Parsonnet et al. Commented on the controversy in 1983. The authors believe that one way to evaluate this view is to obtain later follow-up information - how does the patient respond to his pacing therapy? The patient’s presentation may be criticized as subjective, yet the public’s basic understanding of the value of a treatment Will be important. We conducted a questionnaire for 300 consecutive patients with implanted pacemakers enrolled to find out: (1) whether the original pacing indication had the initial expected effect; (2) whether there was any change in the pace of pacing Expected effect; and (3) patient