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目的:评价食管调搏在阵发性心悸患者中的应用价值。方法:入选64例阵发性心悸患者,运用食管调搏方法明确心律失常的电生理类型,对确诊的阵发性室上性心动过速患者采取超速起搏进行终止,观察疗效。结果:64例中阳性38例。包括房室结双径路20例;房室旁路12例;房性心动过速4例;室性心动过速2例。以心动过速为首发症状就诊12例;包括房室结双径路5例,房室旁路5例,均行超速起搏成功复律;室性心动过速2例,1例静脉注射胺碘酮成功复律,1例因血流动力学不稳定,行电复律成功。结论:经食管心房调搏行心脏电生理检查有利于心悸患者心动过速类型的诊断。
Objective: To evaluate the value of esophageal pacing in patients with paroxysmal palpitations. Methods: Sixty-four patients with paroxysmal palpitations were enrolled. The electrophysiological types of arrhythmia were determined by esophageal pacing method. Overspeed pacing was performed on patients with confirmed paroxysmal supraventricular tachycardia. The curative effect was observed. Results: 64 cases were positive in 38 cases. Including atrioventricular node dual pathway in 20 cases; atrioventricular bypass in 12 cases; atrial tachycardia in 4 cases; 2 cases of ventricular tachycardia. Tachycardia as the first symptom treatment in 12 cases; including atrioventricular node dual pathways in 5 cases, 5 cases of atrioventricular bypass were performed cardioversion success; ventricular tachycardia in 2 cases, 1 case of intravenous amiodarone Ketone successful cardioversion, 1 case due to hemodynamic instability, electrical cardioversion success. Conclusion: Transesophageal atrial pacing cardiac electrophysiological examination is conducive to the diagnosis of heart palpitations in patients with type of tachycardia.