Smith M S, Lindsay W C, Flowers N C
Department of Medicine, Medical College of Georgia, Augusta 30912-2523.
Am J Med. 1987 Nov;83(5):971-2. doi: 10.1016/0002-9343(87)90662-0.
A 65-year-old woman presented with new onset atrial fibrillation. Medical therapy with digoxin and quinidine was not effective in controlling the arrhythmia. Subsequently, complications developed including a stroke and torsades de pointes. The arrhythmia was successfully controlled by overdrive suppression by esophageal pacing. This case illustrates the usefulness of esophageal pacing and how it may be applied in emergencies when transvenous pacing cannot be readily performed outside the intensive care unit setting.
一名65岁女性出现新发房颤。使用地高辛和奎尼丁进行药物治疗未能有效控制心律失常。随后出现了包括中风和尖端扭转型室速在内的并发症。通过食管起搏超速抑制成功控制了心律失常。该病例说明了食管起搏的实用性以及在重症监护病房外无法轻易进行经静脉起搏的紧急情况下如何应用食管起搏。
