Saucedo J, Iturralde P, Attie F, Colín L, Kershenovich S, González Hermosillo J A
Departamento de Electrocardiografía y Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez (INCICH), México, D.F.
Arch Inst Cardiol Mex. 1993 Jul-Aug;63(4):331-4.
We describe a case of a 15-year-old boy with an atrial septal defect who three years after the direct closure of the defect presented with atrial flutter type I according to Wells's classification. He was then electrically cardioverted but presented immediately sinus bradycardia and a ventricular escape rhythm that required epicardial pacing (Intermedics 292-03 DASH) in the AAI mode. We report here the successful termination of a new episode of atrial flutter into sinus rhythm with a noninvasive programmed stimulation using his previously implanted pacing system.
我们描述了一例15岁患有房间隔缺损的男孩，在缺损直接闭合三年后，根据韦尔斯分类法出现了I型心房扑动。随后他接受了电复律，但立即出现窦性心动过缓和室性逸搏心律，这需要在AAI模式下进行心外膜起搏（Intermedics 292 - 03 DASH）。我们在此报告，使用他先前植入的起搏系统，通过无创程控刺激成功地将新发作的心房扑动转复为窦性心律。
