室上性心动过速161例食管心房调搏资料分析  

An analysis of 161 cases with supraventricular tachycardia by esophageal atrial pacing

作　　者：刘仁光[1] 杨增颜[1] 李莉[1] 李春玲[1] 刘爱纯[2] 邹路云[2] 封波[2] 冯国珍[2] 

机构地区：[1]锦州医学院附属医院心功能室 [2]锦州医学院附属医院循环科

出　　处：《现代诊断与治疗》1993年第1期7-11,共5页Modern Diagnosis and Treatment

摘　　要：对161例SVT食管心房调搏资料的分析表明:1.预激综合征(包括隐匿性)是SVT最常见的原因,本组占50%(81/161);其次是房室结双径路,占43%(70/161)。2.食管心房调搏诱发SVT 112例(诱发率70%),其电生理机制以AVRT为第一位,占54%;AVNRT为第二位,占38%,证实国人SVT电生理机制情况与国外相比有不同的特点。3.用食管心房调搏可对SVT进行电生理分型,并作出无创性鉴别诊断。The data of 161 cases with supraventricular tachycardia(SVT)were analysed by esophageal atrial pacing. The results showed that: 1. The pro-excitation syndrome(included conceal pre-excitation)was the most common reason of SVT, which aceounted for 50%(81/161). The secondary was atrioventricular node double roads, which accounted for 43%(70/161). 2. 112 of the 161 cases with SVT were induced by esophageal pacing(induced rate was 70%). The electrophysiologic mechanism showed that atrioventricular reentrant tachycardia(AVRT) was the first place, which accounted for 54 %. The atrioventricular node reentrant tachycardia was the secondary place. It was indication there were different characteristic between Chinese and foreign person in electrophysiollgic mechanism of SVT.3. The diagnosis of electrophysiologic types of SVT was made by esophageal atrial pacing. The differential diagnosis was summarized with noninvasive method.

关 键 词：心动过速 食管心房调搏 

分 类 号：R541.710.4[医药卫生—心血管疾病]