Pittman D E, Gay T C, Patel I I, Joyner C R
Angiology. 1975 Dec;26(11):784-802. doi: 10.1177/000331977502601102.
The results in this series of fifty-seven patients confirms the safety and reliability of rapid atrial stimulation to terminate atrial flutter and atrial tachycardia. Transthoracic wires implanted at thoracotomy or transvenously placed atrial electrodes can be used for the confident intracardiac electrocardiographic diagnosis of tachyarrhythmias and for atrial stimulation. Our experience represents the second largest reported series of patients to undergo cardioversion by this method. In all but five of fifty-seven patients either the atrial tachyarrhythmia was converted to normal sinus rhythm or the flutter-tachycardia was terminated with resultant atrial fibrillation. In forty-three patients sinus rhythm was eventually re-established after atrial stimulation. Various aspects of rapid atrial stimulation, including it's preference over precordial shock, have been discussed. We feel particular consideration should be given cardioversion by rapid atrial stimulation in patients with possible digitalis toxicity and in all patients who have atrial flutter, atrial tachycardia, or junctional tachycardia after open heart surgery.
这组57例患者的结果证实了快速心房刺激终止心房扑动和心房心动过速的安全性和可靠性。开胸植入的经胸导线或经静脉放置的心房电极可用于对快速心律失常进行可靠的心内心电图诊断以及心房刺激。我们的经验是报道的采用这种方法进行心脏复律的第二大患者系列。在57例患者中，除5例之外，要么房性快速心律失常转变为正常窦性心律，要么扑动性心动过速终止并导致心房颤动。在43例患者中，心房刺激后最终重新建立了窦性心律。已经讨论了快速心房刺激的各个方面，包括其优于胸前区电击的方面。我们认为，对于可能存在洋地黄毒性的患者以及所有心脏直视手术后出现心房扑动、心房心动过速或交界性心动过速的患者，应特别考虑采用快速心房刺激进行心脏复律。
