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吞咽诱发的室上性心动过速

[Deglutition-induced supraventricular tachycardias].

作者信息

Bischoff K H, Assmann I, Dittrich P, Meissner C, Schwela H

机构信息

Abteilung für Kardiologie, Medizinischen Akademie Erfurt und der Kreispoliklinik Arnstadt.

出版信息

Z Gesamte Inn Med. 1989 May 15;44(10):307-9.

PMID:2474910
Abstract

We describe the cases of two patients who exhibited a supraventricular tachycardia induced by swallowing. In both cases we found a systemic hypertension, other cardiac or gastroesophagic abnormalities were absent. The electrophysiologic studies demonstrated in the first case a supraventricular tachycardia with 1 : 1 AV-conduction and an origin in the right atrium, in the second case an atrial tachycardia with AV-block originating in the right atrium too. The pathogenetic mechanism is discussed. In both cases after treatment with amiodarone a complete cessation of the tachycardias was reached.

摘要

我们描述了两例因吞咽诱发室上性心动过速的患者病例。在这两例中,我们均发现存在系统性高血压,未发现其他心脏或胃食管异常情况。电生理研究表明,第一例为1:1房室传导且起源于右心房的室上性心动过速,第二例也是起源于右心房的伴有房室传导阻滞的房性心动过速。文中对发病机制进行了讨论。两例患者经胺碘酮治疗后心动过速均完全停止。

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