阵发性室上性心动过速论文：经食道心房调博对阵发性室上性心动过速诱发与终止的临床价值.docVIP

阵发性室上性心动过速论文：经食道心房调博对阵发性室上性心动过速诱发与终止的临床价值 [摘要] 目的 评价经食管心房调搏(teap)对阵发性室上性心动过速(psvt)诱发与终止的临床价值。方法 分析86例psvt患者应用teap诱发或终止psvt的心电图情况，记录诱发窗口、诱发频率、房室结不应期及诊断，并与心腔内电生理(eps)检查相应指标进行相关分析。 结果 经teap诱发psvt窗口、诱发频率、房室结不应期与eps检查结果均呈正相关(p0.01)，其对psvt的诊断符合率达93.0%(80/86)。所有病人发生的psvt均能经teap终止。结论 teap通过对psvt的诱发与终止，对于psvt的确认、旁道的定位、旁道与双径路的鉴别具有较高的临床价值。 [关键词] 阵发性室上性心动过速； 经食管心房调搏； 电生理学； 心律失常 clinical value of inducing and termination of paroxysmal supraventricular tachycardia by transesophageal atrical pacing han xian （department of medicine, the peoples hospital of dahua , guangxi, 530800） [abstract] objective to evaluate clinical value of inducing and termination of paroxysmal supraventricular tachycardia (psvt) by transesophageal atrial pacing (teap). methods eighty-six patients were induced and terminated psvt byapplication teap. induced window, induced frequency, and atrial-ventricular node refractory period were recorded by ecg. the indexs were compared with electrophysiologic study for correlation analysis. results induced window, induced frequency, and atrial-ventricular node refractory period of teap were positive correlation to the indexs of eps(p0.01).the coincidence rate to psvt was 93.0%(80/86) between teap and eps. all patients of psvt could been terminated by teap. conclusions teap had high clinical value to the psvt diagnosis, confirmation of accessory pathway and identification accessory pathway and dual pathway by psvt induced and termination. [keywords] paroxysmal supraventricular tachycardia;transesophageal atrial pacing; electrophysiology; arrhythmia 经食管心房调搏(teap)终止阵发性室上性心动过速(psvt)是一种无创性心脏电生理检查治疗术，安全、经济、无创、无药物不良反应，同时teap可判断患者是否确实患有psvt，并初步定位是旁道或是双径路参与的psvt，此检查有利于射频消融术术前对手术方法及导管的选择，以节省时间，提高成功率，因而成为近年来心脏电生理领域开展的新方法[1-3]。现就本院2004年～2010年86例psvt患者行射频消融术术前teap检查结果与射频消融术时心腔内电生理(eps)心电图进行比较，旨在探讨teap在psvt诱发和终止中的临床应用价值。 1 对象与方法 1.1 对象 86例均系2004年～2010年我院住院患者，均经临床心电图诊断为psvt。男48例，女38例；年龄16～64岁，平均(39.5±10.2)岁。所有患者均有室上性心动过速发作病史，最短者2月，最长25年，阵发性室上性心动过速持续0.5h～72 h，发作时心率180～240 次／分。除外合并器质