食管心房调搏12830例分析  

Analysis of 12830 cases diagnosed by trans-esophageal atrial pacing

作　　者：储伟[1] 苟永超[1] 李黎[1] 方玉强[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所心内科心功能室,重庆400042

出　　处：《江苏实用心电学杂志》2013年第5期774-776,共3页Journal of Practical Electrocardiology JS

基　　金：重庆市科委自然科学基金资助项目(CSTC2009BB5332)

摘　　要：目的探讨经食管心房调搏(trans-esophageal atrial pacing,TEAP)对心律失常的诊断价值。方法对我院26年来临床有反复心悸、头晕、短暂晕厥症状的12 830例患者的食管心房调搏检查结果进行分析,了解不同心律失常的发生情况。结果心律失常的诱发率为61.23%,室上性心动过速的诱发率(50.35%)明显高于室速(1.23%);两者比较,差异有统计学意义(P<0.05)。经食管心房调搏超速抑制成功终止99.83%的室上速,失败占0.15%(患者自行要求终止,未列入统计范畴)。两者比较,差异有统计学意义(P<0.05)。全部患者在检查中均未出现严重并发症。结论经食管心房调搏诱发和抑制室上速是有效的无创性方法,可为临床进一步治疗提供可靠依据,值得大力推广与广泛应用。Objective To discuss the diagnostic value of traMs-esophageal atrial pacing （TEAP） for arrhythmias. Methods During the past 26 years select 12 830 patients who suffered recurrent palpitation, dizziness and brief syncope and accepted TEAP examination. Statistically analyze the results and get knowledge of the occurrences of different arrhythmias. Results The inducing rate of arrhythmia is 61.23%. The morbidity of supraventricular tachycardia （SVT） is obviously higher than that of ventricular tachycardia （VT） （SVT, 50.35% vs. VT, 1.23% ）, with a statistically significant difference （P 〈0.05）. By TEAP overdrive suppression, 99.83% of SVT are successfully terminated and 0.15% fail （ Patients who require to terminate TEAP don＇ t be counted）, also with a statistically significant difference （ P 〈 0.05）. No severe complications occur to patients during the examination. Conclusion It＇ s one of the most effective non-invasive treatments to utilize TEAP in inducing and terminating VT. The method can provide reliable basis for further clinical treatment, and therefore deserves to be widely promoted and applied.

关 键 词：心律失常 经食管心房调搏 室上速 

分 类 号：R540.4[医药卫生—心血管疾病]