Poliakov V P
Cor Vasa. 1977;19(1):21-7.
Paired electrical stimulation of the heart was applied in the treatment of 82 patients with tachycardia of various origin, refractory to drug treatment. Cardiostimulators and electrodes of the Institute's own original design were used. The stimulation parameters were calculated by a method proposed by the author. The best results were achieved in patients with paroxysmal tachycardia; in 14 out of 17 patients, paired stimulation suppressed the attack. In a majority of patients with tachysystolic form of atrial fibrillation (30 out of 49 patients), stimulation led to normalization of haemodynamics and helped overcome the crisis. In sinus tachycardia the retardative pacing was beneficial in rare cases only, when the tachycardia was losing its compensatory character. Of dangerous complications there occurred ventricular fibrillation (2 patients), removed by electroshock. In the author's opinion, paired stimulation has its advantages over electric defibrillation in patients in a poor condition with paroxysmal tachycardia and the tachysystolic form of atrial fibrillation.
对82例各种病因所致的药物治疗无效的心动过速患者应用心脏成对电刺激进行治疗。使用了该研究所自行设计的心脏刺激器和电极。刺激参数采用作者提出的方法计算。阵发性心动过速患者取得了最佳效果；17例患者中有14例成对刺激抑制了发作。大多数房性心动过速型房颤患者（49例中的30例），刺激使血流动力学恢复正常并有助于度过危机。窦性心动过速时，仅在极少数情况下，当心动过速失去代偿特征时，减速起搏才有益。出现了危险并发症室颤（2例患者），通过电击除颤消除。作者认为，对于病情较差的阵发性心动过速和房性心动过速型房颤患者，成对刺激比电除颤具有优势。
