论文部分内容阅读
采用食管心房调搏对已证实或疑有室上速(SVT)患儿进行检测,共诱发SVT18例。其中2例自发出现SVT,且程控电刺激不能终止,RP'/P'R>1,诊断为房性自律性增高性心动过速;16例均能被电刺激诱发和终止,RP'/P'R<1。该16例中1例RP'为50ms,且诱发SVT前有S2R跳跃式延长(≥60ms),诊断为房室结折返性心动过速;另15例RP'>85ms,诊断为房室折返性心动过速。诱发SVT以S1S2早搏刺激法较敏感,终止SVT以S1S2S3早搏刺激法成功率最高,且重复性好。
The use of esophageal atrial pacing has been confirmed or suspected of supraventricular tachycardia (SVT) in children were detected, a total of 18 cases of SVT induced. Two cases of spontaneous SVT, and programmed electrical stimulation can not be terminated, RP ’/ P’R> 1, diagnosis of atrial tachycardia increased self-discipline; 16 cases were induced and terminated by electrical stimulation, RP’ / P ’R <1. One of the 16 patients had a RP ’of 50 ms and had an episode of S2R lengthening (≥60 ms) prior to SVT, a diagnosis of atrioventricular nodal reentrant tachycardia; the other 15 cases of RP’> 85 ms were diagnosed as atrioventricular reentrant Tachycardia. SVT induced by S1S2 premature stimulation more sensitive to terminate the SVT to S1S2S3 premature beat stimulation the highest success rate, and good reproducibility.