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在冠状窦内使用双按需起搏器治疗阵发性结性心动过速。

Treatment of paroxysmal nodal tachycardia by dual demand pacemaker in the coronary sinus.

作者信息

O'Keeffe D B, Curry P V, Sowton E

出版信息

Br Heart J. 1981 Jan;45(1):105-8. doi: 10.1136/hrt.45.1.105.

DOI:10.1136/hrt.45.1.105
PMID:7459160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482496/
Abstract

A patient with refractory paroxysmal atrioventricular nodal re-entrant tachycardia had required direct current cardioversion to terminate attacks on 83 occasions. A dual demand pacemaker was implanted to sense and interrupt attacks of tachycardia automatically. The pacing electrode was positioned in the proximal coronary sinus near to the atrioventricular node; a site from which fixed rate underdrive pacing successfully interrupted attacks throughout a trial period of one week, with a lead left in this position on a temporary basis. Complete control of the arrhythmia was obtained in the six months after pacemaker implantation.

摘要

一名患有难治性阵发性房室结折返性心动过速的患者曾83次需要直流电复律来终止发作。植入了一个双按需起搏器以自动感知并中断心动过速发作。起搏电极置于靠近房室结的冠状窦近端;在为期一周的试验期内,从该部位进行的固定频率超速抑制起搏成功中断了发作,并暂时将导线留在该位置。起搏器植入后的六个月内实现了心律失常的完全控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/17b7212a129d/brheartj00179-0115-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/eb64e31a7558/brheartj00179-0114-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/58cd2c75a947/brheartj00179-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/17b7212a129d/brheartj00179-0115-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/eb64e31a7558/brheartj00179-0114-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/58cd2c75a947/brheartj00179-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fa/482496/17b7212a129d/brheartj00179-0115-b.jpg

相似文献

1
Treatment of paroxysmal nodal tachycardia by dual demand pacemaker in the coronary sinus.在冠状窦内使用双按需起搏器治疗阵发性结性心动过速。
Br Heart J. 1981 Jan;45(1):105-8. doi: 10.1136/hrt.45.1.105.
2
Dual-demand pacing for refractory atrioventricular re-entry tachycardia.双需求起搏治疗难治性房室折返性心动过速。
Pacing Clin Electrophysiol. 1979 Mar;2(2):137-51. doi: 10.1111/j.1540-8159.1979.tb05193.x.
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[Use of implantable pacemaker in the treatment of paroxysmal supraventricular tachycardia refractory to pharmacologic therapy].[植入式起搏器在药物治疗无效的阵发性室上性心动过速治疗中的应用]
Arq Bras Cardiol. 1991 Apr;56(4):275-9.
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[Treatment of paroxysmal supraventricular tachycardia of A-V nodal re-entry mechanisms with sinus bradycardia by pacemaker implantation (author's transl)].
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本文引用的文献

1
Paradoxical use of a demand pacemaker in treatment of supraventricular tachycardia due to the Wolff-Parkinson-White syndrome. Observation on termination of reciprocal rhythm.在治疗预激综合征所致室上性心动过速中按需型起搏器的反常应用。关于折返性心律终止的观察。
Circulation. 1968 Dec;38(6):1037-43. doi: 10.1161/01.cir.38.6.1037.
2
Recurrent Wolff-Parkinson-White tachycardia in an infant: successful treatment by a radio-frequency pacemaker.婴儿复发性预激综合征心动过速:经射频起搏器成功治疗
Am J Cardiol. 1971 Nov;28(5):586-91. doi: 10.1016/0002-9149(71)90102-0.
3
Dual-demand pacing for reciprocating atrioventricular tachycardia.
用于折返性房室性心动过速的双需求起搏
Br Med J. 1976 May 8;1(6018):1114-6. doi: 10.1136/bmj.1.6018.1114.
4
Refractory reentrant atrial tachycardia. Successful treatment with a permanent radio frequency triggered atrial pacemaker.难治性折返性房性心动过速。永久性射频触发心房起搏器成功治疗。
Am J Med. 1975 Apr;58(4):586-90. doi: 10.1016/0002-9343(75)90136-9.
5
Treatment of tachyarrhythmias by pacing.通过起搏治疗快速性心律失常。
Arch Intern Med. 1975 Aug;135(8):1115-24.
6
Dual-demand pacing for refractory atrioventricular re-entry tachycardia.双需求起搏治疗难治性房室折返性心动过速。
Pacing Clin Electrophysiol. 1979 Mar;2(2):137-51. doi: 10.1111/j.1540-8159.1979.tb05193.x.