Onishi Naoaki, Kaitani Kazuaki, Yasuda Kenji, Sugimura Sousuke, Imanaka Miyako, Kuroda Maiko, Nishimura Shunsuke, Takahashi Yusuke, Yoshikawa Yusuke, Amano Masashi, Imamura Sari, Tamaki Yodo, Enomoto Soichiro, Miyake Makoto, Tamura Toshihiro, Kondo Hirokazu, Izumi Chisato, Nakagawa Yoshihisa
Division of Cardiology, Tenri Hospital, Japan.
Intern Med. 2016;55(17):2423-7. doi: 10.2169/internalmedicine.55.6418. Epub 2016 Sep 1.
We herein report a case of a 52-year-old woman who presented with a history of recurrent palpitations that occurred during swallowing solid food. On a Holter electrocardiogram, paroxysmal atrial tachycardias (PATs) were detected while eating. We mapped the right atrium (RA) with a multipolar mapping catheter while she swallowed a rice ball and it was revealed that the earliest endocardial breakthrough was on the anterior septal side near the superior vena cava junction of the RA. We successfully eliminated PAT at both the site in the RA and the adjacent right superior pulmonary vein ostium. After ablation, no PAT was documented while eating.
我们在此报告一例52岁女性病例，该患者有吞咽固体食物时反复心悸的病史。动态心电图检查发现，进食时出现阵发性房性心动过速（PAT）。当她吞咽饭团时，我们用多极标测导管对右心房（RA）进行标测，结果显示最早的心内膜突破位于RA上腔静脉交界处附近的前间隔侧。我们成功地在RA部位和相邻的右上肺静脉开口处消除了PAT。消融术后，进食时未记录到PAT。
Zotero 插件