侵入性心脏电生理检查在心律失常诊断中的应用体会  

Application experience of invasive cardiac electrophysiological examination in diagnosis of cardiac arrhythmias

作　　者：李雯 宋曦 高飞 

机构地区：[1]深圳市第七人民医院心电图室,深圳518081

出　　处：《中国当代医药》2016年第20期53-55,共3页China Modern Medicine

基　　金：广东省深圳市盐田区科技计划资助项目(20150201)

摘　　要：目的 探讨侵入性心脏电生理检查在心律失常诊断中的应用情况。方法 选取2012年2月-2015年7月本院的200例心律失常患者作为研究对象,给予侵入性心脏电生理检查,对其具体情况进行回顾性分析。结果 178例在心悸发作时接受检查,经食管导联心电图显示,112例为房室结折返心动过速,66例为房室折返性心动过速。8例因出现间断性心悸而接受侵入性心脏电生理检验,在接受侵入性心脏电生理检查时诱发出现心动过速,食管导联以及体表心电图显示,2例为房室结折反性心动过速,1例为房性心动过速。180例为阵发性心律失常患者,接受心内电生理检查,36例为房室结双径路。8例在检查过程中出现心动过速,未出现窦性停搏、室颤的情况。结论侵入性心脏电生理检查可以较好对地心律失常患者的疾病进行诊断,操作简单,准确率较高,安全有效,值得临床推广应用。Objective To explore the application situation of invasive cardiac electrophysiological examination in diagnosis of cardiac arrhythmias.Methods 200 patients with cardiac arrhythmias from February 2012 to July 2015 in our hospital were selected as the research group,the invasive cardiac electrophysiological examination was performed,and the specific cases were analyzed retrospectively.Results 178 patients were examined during the onset of palpitation, esophageal lead electrocardiogram showed 112 cases of atrioventricular nodal reentry tachycardia,66 cases of atrioventricular reentry tachycardia.8 patients underwent invasive cardiac electrophysiological examination due to intermittent palpitation,tachycardia was induced in the invasive cardiac electrophysiological examination,esophageal lead and body surface electrocardiogram showed 2 cases of atrioventricular nodal tachycardia,1 cases of atrial tachycardia. 180 cases of paroxysmal arrhythmia underwent cardiac electrophysiology,36 cases was atrioventricular nodal pathways.8 cases occurred tachycardia during the examination,and there was no sinus arrest and ventricular fibrillation.Conclusion Invasive cardiac electrophysiological examination can be good used to diagnose the disease of patients with arrhythmia,with simple operation,high accuracy,which is safe and effective,it is worthy of clinical promotion and application.

关 键 词：侵入性心电生理检查 心律失常 应用价值 

分 类 号：R541.7[医药卫生—心血管疾病]