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食道心房调搏对窄QRS波室上性心动过速机制研究
引用本文:仇玉民 林媛豪 等. 食道心房调搏对窄QRS波室上性心动过速机制研究[J]. 实用心脑肺血管病杂志, 2000, 8(1): 10-12
作者姓名:仇玉民 林媛豪 等
作者单位:宁夏医学院附属医院心内科 750004(仇玉民),宁夏医学院附属医院传染科 750004(杨岩),宁夏医学院附属医院心内科 750004(林媛豪)
摘    要:目的:了解食道心房调搏(TEAP)对窄QRS波室上性心动过速机制的鉴别。方法:采用无创性TEAP技术,对145例有心动过速史但无器质性心脏病的患者进行检查,诱发窄QRS汉心动过速。结果:检出的窄QES波折返阵性发性室上性心动过速中,房室折返性心;动过速及房室结内折返性心动过速占约大多数,房性折返性心动过速极少。结论:TEAP是鉴别窄QRS波PSVT机制的一种安全,有效的方法。

关 键 词:食道心房调搏 阵发性室上性心动过速 QRS波

Transesophagus atrial pacing in studying the mechanism of supraventricular tachycardia with narrow QRS complex
Qiu Yumin,Yang Yan,Lin Yuanhao. Transesophagus atrial pacing in studying the mechanism of supraventricular tachycardia with narrow QRS complex[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2000, 8(1): 10-12
Authors:Qiu Yumin  Yang Yan  Lin Yuanhao
Affiliation:Qiu Yumin,Yang Yan,Lin Yuanhao. Affiliated Hospital,Ningxia Medical College,Yinchuan 750004
Abstract:Objective To evaluate the significance of transesophagus atrial pacing (TEAP) in differentiating the mechanism of supraventricular tachycardia (SVT) with narrow QRS complex. Methods One hundred and forty-five patients without clinical evidence of significant cardiac disease but with history of paroxysmal tachycardia were monitored by transesophagus atrial pacing. All of them were induced tachycardia with narrow QRS complex. Results Among all in-duced paroxysmal supraventricular tachycardia (PSVT) with narrow QRS complex, the absolute majority was atrial-ventricular reentrant tachycardia and atrial-ventricular node reentrant tadycardia, while the rest was atrial tachycardia. Conclusion Transesophagus atrial pacing was an effective and secure technique to differentiate the mechanism of paroxysmal supraventricular tachycardia with narrow QRS complex.
Keywords:Taransesophagus atrial pacing Paroxysmal supraventricular tachycardia
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