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经食管超短阵起搏终止阵发性室上性心动过速

[Transesophageal supra-burst pacing to terminate paroxysmal supraventricular tachycardia].

作者信息

Guo J H

出版信息

Zhonghua Yi Xue Za Zhi. 1989 Feb;69(2):69-71, 6.

PMID:2766052
Abstract

A new cardiac stimulation mode (transesophageal supra-burst pacing) to terminate paroxysmal supraventricular tachycardia (PSVT) in the clinical and electrophysiologic laboratory is first described for the first time in this paper. All the parameters of this method were as follows: (1) pulse duration: 10 ms; (2) pulse rate: 250-300 bpm; (3) pulse amplitude: 26-43 volts; (4) number of pulse from each supra-burst pacing: 3-5 beats. The results of terminating PSVT using this method showed that (1) among 112 patients with PSVT treated by this method, PSVT was terminated in 103 cases and failed to terminate in 9 cases; (2) during each PSVT successfully terminated by this method, once (90.4%), twice (6.6%), thrice time (3%) supra-burst pacing were respectively used. These data indicate that transesophageal supra-burst pacing is a safe, simple and useful method to terminate PSVT.

摘要

本文首次描述了一种用于在临床和电生理实验室中终止阵发性室上性心动过速(PSVT)的新的心脏刺激模式(经食管超短阵起搏)。该方法的所有参数如下:(1)脉冲持续时间:10毫秒;(2)脉冲频率:250 - 300次/分钟;(3)脉冲幅度:26 - 43伏;(4)每次超短阵起搏的脉冲数:3 - 5次搏动。使用该方法终止PSVT的结果表明:(1)在112例接受该方法治疗的PSVT患者中,103例PSVT被终止,9例未被终止;(2)在每次通过该方法成功终止的PSVT过程中,分别有一次(90.4%)、两次(6.6%)、三次(3%)使用了超短阵起搏。这些数据表明经食管超短阵起搏是一种安全、简单且有用的终止PSVT的方法。

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