Waldo A L, MacLean W A, Cooper T B, Kouchoukos N T, Karp R B
J Thorac Cardiovasc Surg. 1978 Oct;76(4):500-5.
We retrospectively assessed our experience with the use of bipolar atrial epicardial electrodes in 70 consecutive patients following open-heart surgery. These patients, representing 1 month's experience on one of our cardiac surgical services, are a random sample of our total experience with more than 6.000 patients in whom we have routinely placed such electrodes. The atrial wire electrodes were used diagnostically and/or therapeutically in 57 patients a total of 139 times. In only 13 patients were the atrial wires not used for any reason. Atrial electrograms were recorded 63 times in 34 patients, 41 times to establish a diagnosis of an arrhythmia and 22 times to confirm the diagnosis of an arrhythmia originally suspected from interpretation of a standard or monitor electrocardiogram (ECG). Atrial pacing was used to treat abnormalities of rhythm or conduction or both in 75 instances in 49 of the 70 patients. Because of their great utility in the diagnosis and treatment of arrhythmias, we conclude that routine placement of atrial wire electrodes at the time of operation is indicated regardless of the nature of the open-heart procedure or the preoperative rhythm.
我们回顾性评估了在70例连续心脏直视手术后患者中使用双极心房心外膜电极的经验。这些患者代表了我们心脏外科服务中一个月的经验，是我们对超过6000例常规放置此类电极患者的总经验的随机样本。心房线电极在57例患者中用于诊断和/或治疗，共使用139次。仅13例患者因任何原因未使用心房线。34例患者记录了63次心房电图，其中41次用于诊断心律失常，22次用于证实最初从标准或监测心电图（ECG）解释中怀疑的心律失常诊断。70例患者中有49例在75例中使用心房起搏治疗节律或传导异常或两者兼有。由于它们在心律失常诊断和治疗中的巨大效用，我们得出结论，无论心脏直视手术的性质或术前节律如何，均建议在手术时常规放置心房线电极。
