Kaneda S, Inoue T, Fukuzaki H
First Department of Internal Medicine, Kobe University School of Medicine, Japan.
Jpn Heart J. 1989 Jul;30(4):471-8. doi: 10.1536/ihj.30.471.
Eight patients with atrial flutter (AF) and rapid atrial tachycardia (AT) (5 common AF, 1 uncommon AF and 2 AT) were treated with transesophageal atrial pacing (TEAP). In 5 patients no antiarrhythmic agent was used during this study, and in 3 patients procainamide was administrated intravenously. Conversion to sinus rhythm was successfully achieved in 7 patients (5 common AF and 2 AT). Two patients were converted to sinus rhythm immediately after pacing, and transient atrial fibrillation was induced before conversion to sinus rhythm in 5 patients. TEAP failed to terminate the arrhythmia in 1 patient with uncommon AF. Administration of procainamide reduced the atrial rate in 2 common AF and 1 AT, which were successfully converted to sinus rhythm by TEAP, but induced a rapid ventricular response in 2 patients, one of whom also developed hypotension before conversion. No significant complication due to TEAP was observed in this study. In conclusion, TEAP is a noninvasive method with fewer complications and has nearly the same high efficacy for converting AF and rapid AT to sinus rhythm as DC cardioversion or transvenous atrial pacing.
8例心房扑动（AF）和快速房性心动过速（AT）患者（5例常见AF、1例不常见AF和2例AT）接受了经食管心房起搏（TEAP）治疗。本研究期间，5例患者未使用抗心律失常药物，3例患者静脉注射了普鲁卡因胺。7例患者（5例常见AF和2例AT）成功转为窦性心律。2例患者起搏后立即转为窦性心律，5例患者在转为窦性心律前诱发了短暂性心房颤动。1例不常见AF患者TEAP未能终止心律失常。普鲁卡因胺给药使2例常见AF和1例AT的心房率降低，这3例患者经TEAP成功转为窦性心律，但2例患者出现快速心室反应，其中1例在转复前还出现了低血压。本研究未观察到TEAP引起的明显并发症。总之，TEAP是一种并发症较少的非侵入性方法，对于将AF和快速AT转为窦性心律，其疗效与直流电复律或经静脉心房起搏几乎相同且很高。
