ŏà ƆŰöàƌ ƏƖŐř ƖƔ •
(Pacemaker) Ɛĩß ƟĩÙĸŏ Ơĩőïßƍ ƍĸDZğĠã ĻǠĩéƐƀ ǪƅĸÙ Ơĩőïßƍ ŇǠƅ •
.ĬôŐê Īßĩġé
Žņġǰ ǵÙĩǠƐƏƅ ƅƏ ƍʼnÞ ƟʼnÞƏĩĕå ňêʼnőŔ
Ǟñİĩã ijçƌĽĩà ƦİðƗİæ ŎŗñƌŐí Ŋàİğð ƦůİûŞƖŀà ƖƔ ƦŐåƖİĜì ǐĽĨà ŏĤõè ƤƨĽã
mmHg ıûäĿà ƏİêŰèƌ .ŻŹŹż Ƥİæ ƖƔ (WHO)
ijŗġŖƨǞïŐöûŗæǞïŐöæİǟƔŏŗřŐá
Ɩİŗûà ƦŐåƖİĜì
.ijæƌ ŎŗǟİŚ
źŹŹªſŹªĽŗĨǚ ƏƖŐĜð ǙçŀŚ İà
.źƍŐĦğð ƦŐåƖİĜìźŹŹ-źŻŹſŹ-ƁŹƖİħŗà ƔŐå ŅæŐá ǐĿŗŞ ƧƗƌĽñƌ
.ŻƤİðĿñ ƦŐåƖİĜìźŻŹ-źżŹƁŹ-ƁžƖİħŗà ƔŐå ŅæŐá ǐĿŗŞ ƧƗƌĽñƌ
.żǞħǚ ƦŐå ƖİĜì
ijæůİà
źżŹ-źŽŹƁž-ƂŹ.ĽŗĨǚ ƏƖŐĜð ƔŐå ǙçŀŚ İà
.ŽƖİŗûà ƦŐå ƖİĜì
ijæůİà
źŽŹ-źſŹƂŹ
-źŹŹ.ĽŗĨǚ ƥƌĽíƌ ŏĂİġð ǐƌĿà
.žƖİŗûà ƦŐåƖİĜì
.ijæůİà Ɩİŗûà
źſŹ-źƁŹźŹŹ-źźŹ.ĽŗĨǚ ƥƌĽíƌ ŏĂİġð ǐƌĿà
.ſĽä ƖƔ ƦŐå ƖİĜì
Ɩİŗûà ǍİñĿğå
.ijæůİà
źƁŹ©źźŹ©ƥƌĽíƌ ŏĂİġð ǐƌĿà
ƫ
İġǟĿæ
.ĽŗĨǚ
ǐĿŗŞ ƧƗƌĽñƌ ŏøŗöñ ƦƌŐĨê ŏà ƦŐåƖİĜì ǐĿŗŞ ƧƗƌĽñƌ Ɨƌ ƧĽðƇ ijæĽà Ʀƌŀŗð ŎǟĿáůİà
Ŏǟƌ ƧĽĨòĽñİĜñ mmHg źŻŹ /ƂƁ İǟ ƁLJ /źLJŹ Ŏŗà ƦŐåƖİĜì :Ƥİ÷ð .ƔŐç Ǟð ǞàİǟƗƖƌ
.
«ijæůİà Ɩİŗûà ƦŐåƖİĜì» ŏǚ ijæƌ
ƦİĜñ ƌƖ ƦŐåƖİĜì dž İá ź ǐİò ŏĨðƌƔ ƧİŘöæƔ ǐŐĦã łúà ƖƔ
3 ƏİêŰèƌ ƏƖİǚ
.ĽòƔ Ǟð
ƏĩÙ ŇŐèơƅ ǪƅĸÙ Ơĩőïßƍ ƠƍĩĜïßƅ .Ŵ
ƠĶà ǪƏƅķőǠĩÜ ǪĩĢǠĸÚĩÙ ǪƐĩß ƝĩĚå
.
7 ĽǟƖƌƔĿà ǐĿáİà ŏĠģùð Ɨƌ ƌƖ ņìİùð ǐİòƖƌŐñ
Ĭãĩß ơ ĵǠƏĩÚ Ɵƍĸǰ ņŐęġÚ
.ĽĨǚ Ǟð ƦƔƗ ǙħĜś ŏà ƞƨĿç Ƥİæ ŏà ƜŐàĿð ƔĽê İĩǟĿáİà ǐƖƌľŘǟİã Ɨƌ ŁŚ .ź
ŎŗĨŢħò ƨ Ƥİæ ĽŗǟĬá ǐƌĿà .ĽŗĨǚ ōŗĠĨá AT M ŏħǚƔ ƦƔĿĜì İà ƌƖ Ƥİæ ĽŗñƌŐöŗð
.
AL ĽŗòƔ ƖİĜì ƌƖ ƦİðƗ ŏħǚƔ ŸƧİð ōŗĠĨá
ĽŗǟĬá ǐƌĿà ƌƖ ƦİðƗ ŏħǚƔ .ĽŗĨǚ ōŗĠĨá M ŏħǚƔ ƖİĜì İà ƌƖ Ƨİð ĽŗñƌŐá Ǟð Ƥİä .Ż
.ĽŗòƔ ƖİĜì ƗƨƖ ōŗĠĨá ŎŗĨŢħò ƨ Ƨİð
.ĽŗĨǚ Ōħê ůİà ǐİĩŗǟİħĨòƌƖ Ŋàİğð ŏĤŗíƔ ƨ ijêİæ Ÿ ƗƨƖ ōŗĠĨá ǐƌĿà .ż
ǐƨƖ ƨ ƧĽç ōŗĠĨá ijêİæ ƨ ƗƨƖ
ŸƦİðƗ ŏħǚƔ ƦƔĿĜì ƨ ŏĤŗíƔ ōŗĠĨá Ɨƌ ŁŚ .Dž
.ĽñŐç Ǟð Ŀòİé ŏùģř
ż ƔƨĽä İá ƨ ƧƔĿĜì ƌƖ ƦİðƗ ŏħǚƔ ŸĽŗòƔ ĿŗŗĢá ƌƖ ijêİæ ƨ ƗƨƖ ĽŗòƌŐå Ǟð ĿŞƌ .LJ
.ĽĨǚ ƦƔƗ ǙħĜś ŏà ƞƨĿç Ƥİæ ŏà ƜŐàĿð ƥİíƖƌ İá ĽǟƖƌƔ ŏŘñ Ƥİä Ʀİħò ŏà ŏŗñİâ
ƔƖƌƨ Ľç ƧƔƌƔ ĻŗŖŐá
ůİà ƖƔ ŏǚ ǞçƨƖ Ʀİħò ŏà ƌƖ ĽǟĽã ƔƌĽêƌ ĽŗñƌŐá Ǟð Ƥİä
.ĽŗǟİĊ ƧİŘöæƔ
Īßĩġé ĶġÙơƐĩÙ Ɔĩóïêƅ
ŏŕƌƖƌ (L) ƸƖŀà ƨ (M) ŅæŐöð Ÿ(S) ǙśŐǚ ʼnĦöúðŀǟİæ ŏæ ƖƔ
ʼnǟůƨĿǥǟİð ĽĨàƨƗİà
ŏöçƌƔ ijĤàİğð İħç ǐƨƗİà Ŀğí İà ƦƇ ƧƗƌĽñƌ ŏǚ ĽŗĨǚ ƍİúöñƌ ƌƖ ǐĽĨàƨƗİà .ĽñŐç Ǟð
Ɨƌ ǐƖİŗûà ǐƌĿà ŅæŐöð ŀǟİæ
ƫ
ůŐħġð .(ƔĿŗŘà ƖƌĿí İħç ǐƨƗİà ǐƨƖ ōǥùð ) Ľçİà
.ijæƌ ıæİĨð ƔƌĿìƌ
ĶġÙơƐĩÙ ƠƐƅĶêƅǪơƐĩÙ ĸĘæ ǪƅĸÙ
ǙśŐǚ(ŨĨǟƌ Ɓ/ƀLJ – dž/ƀLJ) Ŀöħŗöñİæ ŻŻ – źƀ
ŅæŐöð(ŨĨǟƌ źŻ/LJ – Ɓ/ƀLJ) Ŀöħŗöñİæ żŻ – ŻŻ
ƸƖŀà(ŨĨǟƌ źdž/LJ – źŻ/LJ) Ŀöħŗöñİæ DžŻ-żŻ
.ĽŗĨǚ ƧƔİģöæƌ
ʼnǟůƨĿǥǟİð ĽĨàƨƗİà Ɨƌ ŅĤì
(
ʼnǟůƨĿǥǟİð ƏİðĽå İà ƔƖƌĽñ ijĤàİğð İħç ŀǟİæ İà ƧİŘöæƔ ĽĨàƨƗİà ǞáƖŐř ƖƔ
_
.ĽǟĿŗŘà ƘİĔ
ŏà ƜŐàĿð ijǚŐæ ŏà ƌƖ
9 ĽĨàƨƗİà ŅàƌƖ ōŗæ ŸƧİŘöæƔ ŏà ĽĨàƨƗİà Ƥİĝáƌ ǐƌĿà
_
.ĽŗòƔ ƖİĜì ŌåƌƔ ơĿè ŏà Ʀİǥðƌ Ľä İá ƨ ƧƔĿǚ Ōĝöð
4 ƦƇ