Olesin A I, Shabrov A V, Razumova T V, Aleksandrov V S
Ter Arkh. 2000;72(11):39-43.
Choice of optimal cardiostimulation regimens using transesophageal pacing for design of antirecurrence antiarrhythmic therapy (AAT) in IHD patients.
198 patients with IHD complicated by paroxysms of atrial fibrillation (AF) and atrial flutter (AFl) received AAT chosen at concurrent, frequent, volley UHF and slowly increasing UHF stimulation using transesophageal pacing.
Slowly increasing UHF stimulation proved most effective both in detection and reproduction of induced paroxysms of AF and AFl. The duration of positive clinical effect of antirecurrence AAT of AF and AFl paroxysms in IHD patients determined at using this regimen of cardiostimulation averaged 3.1 +/- 0.3 years. Left atrial dilatation is an unfavorable prognostic criterion in respect to efficacy of the recurrence AAT.
Slowly increasing UHF stimulation is most effective in determination of antirecurrence AAT of AF and AFl paroxysms in IHD patients.
选择使用经食管起搏的最佳心脏刺激方案，用于设计缺血性心脏病（IHD）患者的抗复发抗心律失常治疗（AAT）。
198例并发阵发性心房颤动（AF）和心房扑动（AFl）的IHD患者接受了AAT，采用经食管起搏同时进行、频繁、成组超高频和缓慢递增超高频刺激来选择AAT。
缓慢递增超高频刺激在检测和重现诱发的AF和AFl阵发性发作方面被证明是最有效的。在使用这种心脏刺激方案确定的IHD患者中，AF和AFl阵发性发作的抗复发AAT的积极临床效果持续时间平均为3.1±0.3年。左心房扩张是抗复发AAT疗效的不利预后标准。
缓慢递增超高频刺激在确定IHD患者AF和AFl阵发性发作的抗复发AAT方面最为有效。
