用于折返性房室性心动过速的双需求起搏
Dual-demand pacing for reciprocating atrioventricular tachycardia.
作者信息
Krikler D, Curry P, Buffet J
出版信息
Br Med J. 1976 May 8;1(6018):1114-6. doi: 10.1136/bmj.1.6018.1114.
Abstract
By using programmed electrical stimulation of the heart and studying the initiation and termination of reciprocating atrioventricular tachycardia two patients with the Wolff-Parkinson-White syndrome were shown to respond rapidly and consistently to fixed-rate pacing. A demand pacemaker was implanted in each patient, having been modified so as to switch into the fixed-rate mode whenever the tachycardia began, thereby terminating the arrhythmia. This appears to be a promising form of treatment in patients with otherwise intractable paroxysmal tachycardia who have been shown by careful study to respond in this way.
摘要
通过对心脏进行程控电刺激并研究折返性房室性心动过速的起始和终止情况，发现两名预激综合征患者对固定频率起搏有快速且一致的反应。在每名患者体内植入了按需起搏器，并对其进行了改良，使其在心动过速开始时切换到固定频率模式，从而终止心律失常。对于经仔细研究表明以这种方式有反应的、其他治疗方法难以奏效的阵发性心动过速患者而言，这似乎是一种很有前景的治疗方式。
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本文引用的文献
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Paradoxical use of a demand pacemaker in treatment of supraventricular tachycardia due to the Wolff-Parkinson-White syndrome. Observation on termination of reciprocal rhythm.在治疗预激综合征所致室上性心动过速中按需型起搏器的反常应用。关于折返性心律终止的观察。
Circulation. 1968 Dec;38(6):1037-43. doi: 10.1161/01.cir.38.6.1037.
2
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Circulation. 1970 Sep;42(3):427-36. doi: 10.1161/01.cir.42.3.427.
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