经食管心房调搏终止心房扑动的疗效评价  

Evaluation of the efficacy to terminate atrial flutter by transesophageal atrial pacing

作　　者：陈庆华[1] 赵少锋 陈元禄[1] 王建勇[1] 李翠[1] 李玉亮[1] 卢俊霞 韩丽英[1] 刘宇帆 赵蕊 CHEN Qing-hua;ZHAO Shao-feng;CHEN Yuan-lu;WANG Jian-yong;LI Cui;LI Yu-liang;LU Jun-xia;HAN Li-ying;LIU Yu-fan;ZHAO Rui(Department of Electrophysiology,TEDA International Cardiovascular Hospital,Tianjin 300457,China)

机构地区：[1]泰达国际心血管病医院电生理科,天津300457

出　　处：《中国心脏起搏与心电生理杂志》2020年第4期355-359,共5页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的评价经食管心房调搏转复心房扑动(简称房扑)的临床疗效。方法对124例单中心房扑患者,采用经食管心房分级递增或连续递增刺激进行终止。调搏频率为快于房扑频率的10%,经食管起搏心房15~30 s;若未成功转复,可将调搏频率加到扑动频率的120%~130%开始逐级递增或连续递增,最高起搏频率不超过500次/分。观察房扑转复率及不良反应。结果 124例房扑患者中转为窦性心律69例,成功率55.6%。典型房扑(97例,成功率63.9%)和左心房正常(74例,成功率78.4%)的房扑,成功率高于非典型房扑(27例,成功率25.9%)和左房大(50例,成功率36.0%)的房扑。有与无明确心脏病或心脏手术史的房扑患者转复率无差异[55.4%(51/92) vs 56.3%(18/32),P<0.05]。结论食管心房调搏转复房扑有较好的临床疗效,尤其是典型房扑和左心房正常的房扑。Objective To evaluate the clinical effect of transesophageal atrial pacing(TEAP) on atrial flutter. Methods Transesophageal atrial pacing(TEAP) was used to treat 124 patients with atrial flutter in a single center. In the 124 patients, the TEAP rate was either increased in a stepwise manner or a continuous manner. Results In 69 out of 124 patients(55.6%) were converted to sinus rhythm using TEAP. TEAP was significantly more effective in patients with typical atrial flutter and normal atrial mass when compared to patients with atypical atrial flutter or when patients had a dilated left atrium(63.9% vs 25.9%, 78.4% vs 36.0%, all P<0.05). Conclusion TEAP is an effective treatment modality for terminating atrial flutter and can be used as the preferred method for treating atrial flutter especially in patients with typical atrial flutter and normal atrial mass.[Chinese Journal of Cardiac Pacing and Electrophysiology,2020,34(4):355-359]

关 键 词：心血管病学 经食管心房调搏 心房扑动 转复窦性心律 

分 类 号：R541.75[医药卫生—心血管疾病]