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经静脉房室交界区电毁损术消除耐药性室上性快速心律失常

[Elimination of drug-resistant supraventricular tachyarrhythmia by transvenous electrodestruction of the atrioventricular junction].

作者信息

Bokeriia L A, Petrosian Iu S, Revishvili A Sh

出版信息

Kardiologiia. 1984 Jul;24(7):23-9.

PMID:6482151
Abstract

The authors report on the first successful employment of transvenous electrodestruction of the atrio-ventricular junction in patients with supraventricular tachyarrhythmias resistant to the drug and electroimpulse therapy. The procedure of transvenous electrodestruction in six patients consisted in making a discharge of 250-350 J from a stationary R-synchronized defibrillator in the area of the compact atrio-ventricular node or the proximal portion of the His bundle. All patients were implanted R-banning ECS-222 Li. The follow-up period after the operation varied from 2 to 6 months. The patients reported no disturbances in cardiac performance and palpitation over this period.

摘要

作者报告了经静脉电破坏房室结在对药物和电脉冲治疗无效的室上性快速心律失常患者中的首次成功应用。6例患者的经静脉电破坏操作包括使用固定的R波同步除颤器在致密房室结区域或希氏束近端释放250 - 350焦耳的能量。所有患者均植入了R波抑制型ECS - 222锂。术后随访时间为2至6个月。在此期间,患者报告心脏功能和心悸无异常。

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Kardiologiia. 1984 Jul;24(7):23-9.
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