Janousek J
Center of Pediatric Cardiology and Cardiac Surgery, Prague, Czechoslovakia.
Int J Cardiol. 1989 Oct;25(1):7-14. doi: 10.1016/0167-5273(89)90155-1.
Transesophageal atrial pacing was used in 29 consecutive patients aged 1 day to 16.5 years (mean 8.04 years) to replace the following procedures: intracardiac electrophysiologic study in patients with selected arrhythmias (21 patients), intracardiac overdrive or synchronized direct current cardioversion of supraventricular tachyarrhythmias or drug administration in patients with acute reciprocating supraventricular tachycardia (9 patients). Atrial capture was achieved without discomfort in 27 patients (93.1%). The diagnostic or therapeutic goal of the procedure was achieved in 26 children (89.7%). Transesophageal atrial pacing may replace intracardiac pacing procedures, direct current cardioversion and drug administration in patients with selected cardiac arrhythmias and has proved appropriate as a first diagnostic or therapeutic step.
连续29例年龄从1天至16.5岁（平均8.04岁）的患者接受了经食管心房起搏，以替代以下操作：对特定心律失常患者进行心内电生理研究（21例患者），对室上性快速心律失常患者进行心内超速或同步直流电复律或对急性折返性室上性心动过速患者进行药物给药（9例患者）。27例患者（93.1%）在无不适的情况下实现了心房夺获。26例儿童（89.7%）达到了该操作的诊断或治疗目标。经食管心房起搏可替代特定心律失常患者的心内起搏操作、直流电复律和药物给药，已被证明是合适的首要诊断或治疗步骤。
