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[心律失常学中的食管途径。诊断与治疗应用]

[Esophageal approach in rythmology. Diagnostic and therapeutic applications].

作者信息

Moustaghfir A, van de Walle J P, Deharo J C, Djiane P, Touze J E

机构信息

Service de Pathologie Cardio-vasculaire, HIA Laveran, Marseille Armées.

出版信息

Ann Cardiol Angeiol (Paris). 1996 Nov;45(9):539-44.

PMID:9033709
Abstract

The oesophageal route is a simple technique, which is easy to perform. It allows precise assessment of supraventricular arrhythmias without using the endocavitary route. There is a perfect correlation between the two methods for the study of sinus function and the Wenckebach point. This technique makes a considerable contribution to the diagnosis of junctional tachycardia and the evaluation of Wolff-Parkinson-White syndrome. It can reduce approximately 65% of flutters and 50% of atrial tachyarrythmias. It can also be used to monitor antiarrhythmic treatment or in the assessment of radiofrequency resection, especially in nodal tachycardias and left atrioventricular accessory pathways. Its limitations concern the sometimes painful nature of the investigation and the impossibility of recording the electrical activity of the His bundle.

摘要

食管途径是一种简单的技术,易于操作。它无需采用心腔内途径就能精确评估室上性心律失常。在研究窦房结功能和文氏点时,这两种方法具有完美的相关性。该技术对交界性心动过速的诊断以及预激综合征的评估有很大贡献。它能减少约65%的心房扑动和50%的房性心动过速。它还可用于监测抗心律失常治疗或评估射频消融,特别是在房室结性心动过速和左侧房室旁道方面。其局限性在于检查有时会带来疼痛,且无法记录希氏束的电活动。

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1
[Esophageal approach in rythmology. Diagnostic and therapeutic applications].[心律失常学中的食管途径。诊断与治疗应用]
Ann Cardiol Angeiol (Paris). 1996 Nov;45(9):539-44.
2
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