1693例经食道电生理诱发快速性心律失常的分析  

Analysis of 1693 patients with tachyarrhythmia induced by esophageal electronphsiology

作　　者：黄佩霞[1] 肖淑芬[2] 陈志坚[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院心内科,武汉430022 [2]湖北省新华医院心内科

出　　处：《临床急诊杂志》2010年第1期1-3,共3页Journal of Clinical Emergency

基　　金：国家自然科学基金资助项目(No:30770880)

摘　　要：目的:探讨1693例经食道电生理检查诱发快速性心律失常的诊断及分型的准确性。方法:收集经食道电生理检查诱发快速性心律失常的1693例患者,同时进行心内电生理检查术和射频消融术治疗,并进行诊断及分型比较。统计相对于心内电生理与食道电生理检查的诊断符合率。结果:食道电生理检查对左侧旁路伴房室折返性心动过速的诊断符合率达97.71%;右侧旁路伴房室折返性心动过速达95.45%;双径路伴房室结折返性心动过速达92.97%;三径路伴房室结折返性心动过速达100%;房性心动过速达100%;心房扑动达100%;心房颤动100%;长RP′心动过速94.44%;室性心动过速95.74%。结论:食道电生理检查具有无创、简便、费用低廉等优点,对快速性心律失常的诊断、分型及终止具有重要的价值。Objective：To investigate the accuracy of diagnosis and classification of 1 693 patients with tachyarrhythmia induced by esophageal electrophsiology study.Method：1 693 patients with tachyarrhythmia induced by esophageal electrophsiology study were compared with intracardiac electrophysiology study and radiofrequency ablation in diagnosis and classification.The coincidence rate for esophageal electrophysiology compared to intracardiac electrophsiology was investigated.Result：The coincidence rate for esophageal electrophysiology to diagnose atrioventricular reentrant tachycardia,atrioventricular reentrant tachycardia,dual pathway with atrioventricular nodal reentrant tachycardia,three pathway with atrioventricular nodal reentrant tachycardia,atrial tachycardia,atrial flutter,atrial fibrillation,long RP＇ tachycardia,ventricular tachycardia were 97.71%,95.45%,92.97%,100%,100%,100%,100%,94.44%,95.74%,respectively.Conclusion：Esophageal electrophsiology study not only has advantages of noninvasiveness,simplicity,convenience and low cost,but also is very useful in diagnosing,classifying and terminating tachyarrhythmia.

关 键 词：食管 快速性心律失常 心内电生理 射频消融术 

分 类 号：R322.43[医药卫生—人体解剖和组织胚胎学]