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Analysis of 12 830 cases diagnosed by trans-esophageal atrial pacing |
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Abstract Objective To discuss the diagnostic value of trans-esophageal atrial pacing (TEAP) for arrhythmias. Methods During the past 26 years select 12 830 patients who suffered recurrent palpitation, dizziness and brief syncope and accepted TEAP examination. Statistically analyze the results and get knowledge of the occurrences of different arrhythmias. Results The inducing rate of arrhythmia is 61.23%.The morbidity of supraventricular tachycardia (SVT) is obviously higher than that of ventricular tachycardia (VT) (SVT, 50.35% vs. VT, 1.23%), with a statistically significant difference (P<0.05). By TEAP overdrive suppression, 99.83% of SVT are successfully terminated and 0.15% fail (Patients who require to terminate TEAP don’t be counted), also with a statistically significant difference (P<0.05).No severe complications occur to patients during the examination. Conclusion It’s one of the most effective non-invasive treatments to utilize TEAP in inducing and terminating VT. The method can provide reliable basis for further clinical treatment, and therefore deserves to be widely promoted and applied.
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[1] Wu J, Zipes DP. Mechanisms underlying atrioventricular nodal conduction and the reentrant circuit of atrioventricular nodal reentrant tachycardia using optical mapping[J]. J Cardiovasc Electrophysiol, 2002, 13(8):831-834.[2] 李忠杰,屈百鸣. 实用食管法心脏电生理学[M].南京:江苏科学技术出版社, 2011:45-46.[3] 许原, 郭继鸿. 食管心房调搏[M].北京:北京大学医学出版社, 2010:43-44.[4] 陈新.黄宛临床心电图学[M]. 6版. 北京:人民卫生出版社, 2009:198-200.[5] 蒋文平,汪康平,熊重廉.经食道心房调搏对可疑预激和多发性旁道的诊断[J]. 江苏医药,1983,4:186-188.[6] 储伟, 江媛媛, 苟永超,等. 房室结折返性心动过速多径路食道电生理特征及意义——附1例报告暨文献复习[J]. 现代生物医学进展, 2012, 12(19):3664-3667. |
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