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185例6个月~15岁小儿行食道心房调搏检查,发现房室结双径道(DAVNP)41例,三径道3例。44例中有6例(11.1%)引起阵发性室上性心动过速(PSVT),10/44例(22.7%)在常规心电图(ECG)上表现为I度房室传导阻滞(I°AVB)、问歇性I°AVB、Ⅱ°AVB呈不典型文氏现象等三种类型。提示PSVT与I~Ⅱ°AVB也是小儿DAVNP引起的较为常见的心律紊乱现象,探讨了DAVNP引起PSVT或AVB的电生理类型及发生机理。
185 cases of 6 months to 15 years old children underwent esophageal atrial pacing examination found that 41 cases of DAVNP, three-track three cases. Six of the 44 patients (11.1%) developed paroxysmal supraventricular tachycardia (PSVT) and 10/44 (22.7%) showed I degree atrioventricular conduction on a conventional electrocardiogram Block (I ° AVB), intermittent intermittent I ° AVB, Ⅱ ° AVB was not typical of three types of Wen’s phenomenon. It is suggested that PSVT and I ~ Ⅱ ° AVB are also common phenomenon of arrhythmias induced by DAVNP in children. The electrophysiological types and mechanism of DAVNP induced by PSVT or AVB are discussed.