经食道心房快速起搏终止心房扑动的方法学及效果评价

林创标, 张伟, 伍于斌, 潘迪光, 蒋靖波, 王志毅, 蔡衡

林创标, 张伟, 伍于斌, 潘迪光, 蒋靖波, 王志毅, 蔡衡. 经食道心房快速起搏终止心房扑动的方法学及效果评价[J]. 实用临床医药杂志, 2013, (5): 60-62. DOI: 10.7619/jcmp.201305017
引用本文: 林创标, 张伟, 伍于斌, 潘迪光, 蒋靖波, 王志毅, 蔡衡. 经食道心房快速起搏终止心房扑动的方法学及效果评价[J]. 实用临床医药杂志, 2013, (5): 60-62. DOI: 10.7619/jcmp.201305017
LIN Chuangbiao, ZHANG Wei, WU Yubin, PAN Diguang, JIANG Jingbo, WANG Zhiyi, CAI Heng. Method and efficiency of transesophageal atrial overpacing to terminate atrial flutter[J]. Journal of Clinical Medicine in Practice, 2013, (5): 60-62. DOI: 10.7619/jcmp.201305017
Citation: LIN Chuangbiao, ZHANG Wei, WU Yubin, PAN Diguang, JIANG Jingbo, WANG Zhiyi, CAI Heng. Method and efficiency of transesophageal atrial overpacing to terminate atrial flutter[J]. Journal of Clinical Medicine in Practice, 2013, (5): 60-62. DOI: 10.7619/jcmp.201305017

经食道心房快速起搏终止心房扑动的方法学及效果评价

详细信息
  • 中图分类号: R541.7

Method and efficiency of transesophageal atrial overpacing to terminate atrial flutter

  • 摘要: 目的 对32例心房扑动(房扑)发作患者采用经食道心房快速起搏方法进行终止,对其方法及疗效进行评价.方法 经鼻插入食道电极,深度至食道电图能记录到最大心房电位处.使用20~35V输出电压、10 ms脉宽进行心房S1S1 250~600次/min逐级递增快速起搏,每次递增50次/min,每次起搏时间2~5s,至房扑终止.结果 32例患者共36次房扑,其中32次经食道心房快速起搏终止,转复成功率89%,典型房扑成功率100%(27/27次),非典型房扑成功率56%(5/9次).平均操作时间(38±15) min,7次(22%)直接转为窦性心律,25次(78%)先经历房颤然后转为窦性心律.术中快速起搏时多数患者出现不同程度的胸骨后烧灼感,均能良好耐受,无血栓栓塞及其他不良反应发生.结论 经食道心房快速起搏终止心房扑动是一种快速、安全、简便、有效的方法,可作为房扑转复的首选治疗.
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出版历程
  • 发布日期:  2013-06-12

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