Grigorov S S, Timofeeva T A, Zhdanov A M, Iurkov O S, Izrantsev V S
Ter Arkh. 1985;57(12):71-4.
The authors described 51 patients with different types of supraventricular tachyarrhythmias and ciliary arrhythmia paroxysms who showed resistance to drug therapy. All the patients were treated by the closed transvenous electrodestruction of the atrioventricular junction by producing a series of discharges with a defibrillator to the area of His' bundle, the power being 280-400 J. A stable and complete transversal blockade was obtained in 45 patients, in 6 patients the restoration of permeability in the atrioventricular system with frequent ventricular responses was observed, being the reason for repeated electrodestructions. No complications were observed. In the patients with blockade of the I-II degree tachycardia paroxysms either stopped or were milder and subjected to drug therapy. Biologically controlled electrocardiostimulators of the "demand" type were implanted to all patients after electrodestruction of the atrioventricular junction. Proceeding from the above the authors made a conclusion that the closed transvenous electrodestruction was a method of choice in the treatment of supraventricular tachyarrhythmias and ciliary arrhythmia paroxysms who showed resistance to drug therapy. It can be effectively used for seriously ill patients and elderly persons.
作者描述了51例患有不同类型室上性快速心律失常和阵发性房性心律失常且对药物治疗有抵抗性的患者。所有患者均接受经静脉闭合式房室结电毁损治疗，通过除颤器向希氏束区域施加一系列280 - 400焦耳能量的放电。45例患者获得了稳定且完全的横向阻滞，6例患者观察到房室系统通透性恢复且伴有频发室性反应，这是再次进行电毁损的原因。未观察到并发症。在I - II度阻滞的患者中，阵发性心动过速要么停止，要么症状减轻并接受药物治疗。在房室结电毁损后，为所有患者植入了“按需”型生物程控心脏电刺激器。基于上述情况，作者得出结论，经静脉闭合式电毁损是治疗对药物治疗有抵抗性的室上性快速心律失常和阵发性房性心律失常的首选方法。它可有效用于重症患者和老年人。
