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34例阵发性室上性心动过速(室上速)患儿经食管心房调搏检查,诊断为房室结折返13例。快慢径有效不应期分别为337±59.46ms和278±71.24ms(P<0.05);传导时间分别为220±50ms和308±58.09ms(P<0.05)。旁室旁道折返19例,其中6例为隐性,旁道前向有效不应期200~320ms,与年龄呈正相关,但无显著性。自律性房住心动过速2例。儿童SVT以房室折返为主,测定PV1-PE时距及RPE间期有助于鉴别折返性室上速的类型及旁道位置。房室结折返PV1-PE时距近于零,房室折返为34.29±8.5ms.左侧旁道为正值,右侧为负值。但PV1有时辨认不满意,有局限性。房室结折返RPE间期<70ms.而旁路折返则>70ms。
Thirty-four patients with paroxysmal supraventricular tachycardia (supraventricular tachycardia) underwent esophageal atrial pacing examination and 13 cases were diagnosed as atrioventricular nodal reentry. The effective refractory periods were 337 ± 59.46 ms and 278 ± 71.24 ms, respectively (P <0.05). The conduction time was 220 ± 50 ms and 308 ± 58.09 ms respectively (P <0.05). 19 cases of recumbent bypass pathways, including 6 cases of recessive, effective pre-access should not be about 200 ~ 320ms, with age was positively correlated, but no significant. Self-discipline housing tachycardia in 2 cases. SVR in children with reentry-based, determination of PV1-PE time interval and RPE interval help identify the type of reentry SVS and bypass location. Atrioventricular node return PV1-PE when the distance is near zero, atrioventricular rebound 34.29 ± 8.5ms. The left bypass is positive and the right is negative. However, PV1 is not recognized sometimes identified, there are limitations. Atrioventricular node foldback RPE interval <70ms. The bypass reentry then> 70ms.