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[食管刺激的治疗价值。影响心房扑动和房性心动过速治疗结果的因素]

[Therapeutic value of esophageal stimulation. Factors influencing the results in flutter and atrial tachysystole].

作者信息

Chabert J P, Metz D, Chapoutot L, Doucet J, Laudinat J M, Elaerts J, Blaise C, Bajolet A

机构信息

Service de Cardiologie, Hôpital Robert-Debré, Reims.

出版信息

Ann Cardiol Angeiol (Paris). 1991 Feb;40(2):69-74.

PMID:2024915
Abstract

The aim of this prospective study was to identify factors predicting the efficacy of atrial stimulation by esophageal route in 57 nonselected patients between 37 and 88 years of age and admitted for intensive care due to flutter or atrial tachycardia. It was impossible to perform the procedure correctly in 4 patients. The restoration of sinus rhythm was achieved in 28.3% of cases at the end of the procedure and in 47.2% of cases after 24 hours. These results were influenced by the duration of the arrhythmia, the underlying cardiopathy and the diameter of the left atrial, but were not affected by the stimulation parameters.

摘要

本前瞻性研究的目的是确定在57例年龄在37至88岁之间、因心房扑动或房性心动过速而入住重症监护病房的非选择性患者中,预测经食管途径心房刺激疗效的因素。4例患者无法正确进行该操作。在操作结束时,28.3%的病例恢复了窦性心律,24小时后这一比例为47.2%。这些结果受心律失常持续时间、基础心脏病和左心房直径的影响,但不受刺激参数的影响。

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