使用标准永久性起搏器对自发性持续性室性心动过速或心室颤动患者进行无创电生理研究。

Noninvasive electrophysiologic study using standard permanent pacemakers in patients with spontaneous sustained ventricular tachycardia or ventricular fibrillation.

作者信息

Cohen A I, Fletcher R D, Wish M H, Miller F C, Del Negro A

出版信息

Am J Cardiol. 1987 Mar 1;59(6):564-7. doi: 10.1016/0002-9149(87)91170-2.

Abstract

Permanent pacemakers capable of noninvasive electrophysiologic testing were used to study and treat 26 patients with spontaneous sustained ventricular tachycardia (VT) or fibrillation (VF). One hundred nine episodes of sustained VT or VF were induced in these patients. In 8 patients spontaneous VT was reverted by noninvasive means. Drug changes based on noninvasive testing were made in 12 patients. In the 1- to 67-month follow-up period, drug therapy based on noninvasive electrophysiologic testing was predictive of outcome in patients with spontaneous arrhythmias. Thus, noninvasive electrophysiologic testing using permanent pacemakers is a useful method for studying and treating patients with recurrent sustained ventricular arrhythmias.

摘要

采用具有无创电生理测试功能的永久起搏器对26例自发性持续性室性心动过速（VT）或颤动（VF）患者进行研究和治疗。这些患者共诱发了109次持续性VT或VF发作。8例患者的自发性VT通过无创方法得以转复。12例患者根据无创测试结果调整了药物。在1至67个月的随访期内，基于无创电生理测试的药物治疗可预测自发性心律失常患者的预后。因此，使用永久起搏器进行无创电生理测试是研究和治疗复发性持续性室性心律失常患者的一种有用方法。