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[心房扑动治疗期间心房频繁经食管电刺激参数与心肌电生理特性的关系]

[Relation of parameters of frequent transesophageal electric stimulation of the atria during the treatment of atrial flutter and electrophysiologic characteristics of the myocardium].

作者信息

Zubrin Iu V

出版信息

Kardiologiia. 1989 Jul;29(7):46-9.

PMID:2811038
Abstract

After arresting paroxysms with frequent transesophageal cardiostimulation (TECS), 20 patients with coronary heart disease accompanied by episodes of Type 1 atrial flutter (AF) were studied by using a technique of intracardiac electrophysiological examination. The length of the atrial cycle in AF was found to correlate with that of successful TECS (r = 0.83). The correlation increases when a difference of atrial functional and effective refractory periods is subtracted from the length of the atrial cycle in tachycardia (r = 0.92). The equations of simple and multiple linear regression were derived, which defined the optimal frequency parameters of stimulation with a sufficient accuracy to stop Type I AF episodes. The efficacy of frequent TECS in arresting 324 spontaneous AF episodes was 92.9%.

摘要

在通过频繁经食管心脏刺激(TECS)终止阵发性发作后,对20例伴有1型心房扑动(AF)发作的冠心病患者采用心内电生理检查技术进行了研究。发现AF时心房周期长度与成功的TECS的心房周期长度相关(r = 0.83)。当从心动过速时心房周期长度中减去心房功能不应期和有效不应期的差值时,相关性增加(r = 0.92)。推导了简单和多元线性回归方程,其以足够的精度定义了终止1型AF发作的最佳刺激频率参数。频繁TECS终止324次自发性AF发作的有效率为92.9%。

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