Abstract：Objective To explore the diagnostic value of transesophageal electrophysiologic study (TEEPS) in children and adolescents with paroxysmal supraventricular tachycardia (PSVT). Methods We retrospectively analyzed the ECG and electrophysiological data of 156 children and adolescents with palpitation who had undergone TEEPS due to suspected PSVT. The detection rate of PSVT separately by using TEEPS and surface ECG was compared; the sensitivity, specificity and accuracy rate of TEEPS in contrast to intracardiac electrophysiologic study (IEPS) were statistically analyzed. ResultsPSVT is detected in 90 cases by TEEPS. The detection rate of PSVT by TEEPS is significantly higher than that by surface ECG (57.69% vs. 19.87%, χ2=55.15, P＜0.05). With IEPS as the gold standard, the accuracy rate of TEEPS in diagnosing PSVT is 95.38% (62/65). The sensitivity and specificity of TEEPS in diagnosing atrioventricular nodal reentrant tachycardia is 92.86% and 100.00%, respectively; its sensitivity and specificity in diagnosing atrioventricular reentrant tachycardia is separately 97.14% and 93.33%; its sensitivity and specificity in diagnosing intra-atrial reentrant tachycardia both reach 100.00%. Conclusion TEEPS has a certain diagnostic value for screening PSVT and judging its mechanism among children and adolescents.
杨燕秋，王新康. 经食管电生理检查对儿童青少年室上性心动过速的诊断价值[J]. 实用心电学杂志, 2022, 31(4): 280-283.
YANG Yanqiu,WANG Xinkang. Diagnostic value of transesophageal electrophysiologic study in children and adolescents with paroxysmal supraventricular tachycardia. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2022, 31(4): 280-283.
