Alvarez Fernández J A, Coma Samartín R
Med Clin (Barc). 1989 May 13;92(18):691-5.
The results of electrical transcutaneous cardiac stimulation (ETCCS) were evaluated in 38 emergency situations seen at the Emergency Service of the Hospital 12 de Octubre (Madrid) during one year. ETCCS is a noninvasive stimulation procedure through electrodes placed on the chest surface (negative left sub-mamillary and positive right infraclavicular--AA--or left subscapular--AP2--). The stimulation impulse has a duration of 0.01-0.04 seconds depending on the type of device used, with intensities which can achieve 200 mA and stimulation frequencies up to 180/min. The high electrical (97.4%) and mechanical (75.7%) effectiveness of ETCCS in our series, its acceptable tolerance (80.1% of the conscious patients) and its easy management have led us to support the use of electrocardiographic monitor-defibrillator-ETCCS units for the complete early electrical support of emergencies associated with disorders of the cardiac rhythm. This support may be given in emergency areas with minimal training requirements.
我们对马德里10月12日医院急诊科一年内遇到的38例紧急情况进行了经皮心脏电刺激（ETCCS）效果评估。ETCCS是一种通过置于胸壁表面电极（负极置于左乳头下，正极置于右锁骨下——AA——或左肩胛下——AP2——）的无创刺激方法。刺激脉冲持续时间为0.01 - 0.04秒，取决于所用设备类型，强度可达200 mA，刺激频率最高可达180次/分钟。在我们的研究系列中，ETCCS具有较高的电（97.4%）和机械（75.7%）有效性、可接受的耐受性（80.1%的清醒患者）以及易于操作等特点，这使我们支持使用心电图监护除颤仪 - ETCCS设备，为与心律失常相关的紧急情况提供全面早期电支持。这种支持可在对培训要求极低的急诊区域提供。
