经食道心房调搏诊治快速型室上性心律失常的临床分析

目的讨论快速型室上性心律失常经食道心房调搏术（TEAP）进行诊断的临床价值。方法采用经食道心房调搏术对快速型心律失常患者共139例进行诊断。结果 78例患者为阵发性室上性心动过速（PSVT）、7例室性心动过速、32例心房扑动、22例心房颤动。PSVT患者中,46例AVRT,17例AVNRT,15例PAT。采用TEAP对PSVT发作进行诱发及终止,72例成功,6例失败,终止成功率为92.3%。采用TEAP对心房扑动进行终止,28例成功,4例失败,终止成功率为87.5%。采用药物终止心律失常,能够对患者心脏生理相关参数造成影响,而电刺激治疗不会对心脏造成影响。结论快速型室上性心律失常采用经食道心房调搏术进行诊断,操作简便、准确性高、安全可靠,值得推广应用。

Clinical analysis on the diagnosis and treatment of supraventricular arrhythmias rapid transesophageal atrial pacing

Objective To discuss the fast supraventricular arrhythmias using transesophageal atrial pacing diagnosis of clinical value. Methods 139 cases of patients with tachyarrhythmia transesophageal atrial pacing diagnosis. Results 78 cases of patients with paroxysmal supraventricular tachycardia（PSVT）, 7 cases ventricular tachycardia, 32 cases atrial flutter, 22 cases atrial fibrillation, which PSVT patients, 46 cases AVRT, 17 cases AVNRT, 15 cases PAT. 72 cases patients with supraventricular tachycardia using TEAP be terminated, the success rate was 92.3%, 6 cases of termination failure, 28 patients terminate atrial flutter, the success rate was 87.5%, 4 cases of termination failure. Use of drugs to terminate the arrhythmia,could cause physiological effects on cardiac parameters, and electrical stimulation therapy did not affect the heart. Conclusion Rapid supraventricular arrhythmias using transesophageal atrial pacing diagnosis, simple operation, high accuracy, safety and reliability, it is worth to popularization and application.