Lucet V, Do Ngoc D, Denjoy I, Saby M A, Toumieux M C, Batisse A
Centre de Cardiologie Infantile, Château des Côtes, Les Loges-en-Josas.
Arch Fr Pediatr. 1990 Mar;47(3):185-9.
On the occasion of a preliminary series of 38 cases, the authors review the esophageal pacing technique and its main indications. On the therapeutic level, the esophageal lead may be successfully used to decrease supraventricular tachycardias due to reentry (typical or atypical flutter, reciprocating nodal tachycardia with or without WPW). As a means of investigation, esophageal pacing is overall useful to diagnose undocumented paroxysmal tachycardia fits (palpitations), to evaluate the refractory stage of an accessory pathway (WPW) or to assess the refractory stage of antiarrhythmia medications. This investigation may also be used to assess the sinusal function, the atrioventricular conduction (Wenckebach point) and the spontaneous rhythm of atrioventricular blocks after pacemaker insertion. Due to the technical improvements achieved, esophageal pacing may be used presently in pediatric units taking care of children with arrhythmias.
在对38例初步病例进行研究之际，作者回顾了食管起搏技术及其主要适应证。在治疗层面，食管导联可成功用于降低因折返引起的室上性心动过速（典型或非典型心房扑动、伴或不伴预激综合征的房室结折返性心动过速）。作为一种检查手段，食管起搏总体上有助于诊断未记录的阵发性心动过速发作（心悸）、评估旁路（预激综合征）的不应期或评估抗心律失常药物的不应期。该检查还可用于评估窦房结功能、房室传导（文氏点）以及起搏器植入后房室传导阻滞的自发心律。由于技术上的改进，目前食管起搏可用于照顾心律失常患儿的儿科病房。
