食管心房调搏对阵发性室上性心动过速(PSVT)转复的体会

• 作 者: 党瑜华 黄振文 魏经汉 刘瑞云 张延荣 魏太星
• 机 构: 河南医科大学一附院内科心血管,河南医科大学一附院内科心血管,河南医科大学一附院内科心血管,河南医科大学一附院内科心血管,河南医科大学一附院内科心血管,河南医科大学一附院内科心血管
• 出 处: 河南医科大学学报
• 发表日期: 1986年03期
• 关键词: PSVT 食管心房调搏 起搏电压 折返途径 起搏频率 心动过速 超速抑制 房室传导阻滞 心房起搏 旁道

本文报道了19例PSVT经食管心房调搏转复心律的体会。心房起搏在19例中均获成功,其中13例立即转为窦律,2例转为房颤伴减慢的心室率,4例无效。我们认为转复成功与否,与电极的位置,起搏电压及频率,是否有器质性心脏病存在,折返途径等因素有关。此项技术对治疗PSVT是有效的,且其方法简单,安全,无创伤,副作用少,可重复性大,值得推广。

This article reports the experience of 19 cases of PSVT transesophageal atrioventricular transsphenoidal pacing. Atrial pacing was successful in all 19 patients, of whom 13 were immediately converted to sinus rhythm, 2 to atrial fibrillation with a slow ventricular rate, and 4 were ineffective. We believe that the success of the transfer or not, and the electrode location, pacing voltage and frequency, whether there is organic heart disease, reentry route and other factors. This technique is effective for the treatment of PSVT, and its method is simple, safe, non-invasive, less side effects, reproducibility, and worth promoting.