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食管心房调搏对折返性室上性心动过速的定位诊断价值

朱丽丽

中国社区医师Issue(5):111-112,2.
中国社区医师Issue(5):111-112,2.DOI:10.3969/j.issn.1007-614x.2015.5.71

食管心房调搏对折返性室上性心动过速的定位诊断价值

Localization diagnosis value of transesophageal atrial pacing on reentrant supraventricular tachycardia beckoning

朱丽丽1

作者信息

  • 1. 410013中南大学湘雅三医院
  • 折叠

摘要

Abstract

Objective:To investigate the localization diagnosis value of transesophageal atrial pacing(TEAP) on reentrant supraventricular tachycardia beckoning.Methods:24 patients with transesophageal atrial pacing induced supraventricular beckoning had ECG speed were positioning bypass or dual atrioventricular nodal pathways,multi route judgment,and we compared the results with intracardiac electrophysiological examination results.Results:The diagnosis coincidence rate of TEAP for SVT was 91.7% .The sensitivity of TEAP for S-F type DAVNP was 88.2% ,and the specificity was 100% ;the sensitivity for concealed accessory pathway was 100%,and the specificity was 89.5%;the sensitivity for left and right dominant bypass was 100%,and the specificity was 100% .Conclusion:TEAP is valuable in clinical diagnosis for better reentrant supraventricular tachycardia positioning,especially for the dominant bypass.We can make radiofrequency ablation treatment based on it.

关键词

食管心房调搏术(TEAP)/阵发性室上性心动过速(PSVT)/心内电生理(EPS)/射频消融术(RFCA)

Key words

Transesophageal atrial pacing(TEAP)/Paroxysmal supraventricular tachycardia(PSVT)/Intracardiac electrophysiology(EPS)/Radiofrequency ablation(RFCA)

引用本文复制引用

朱丽丽..食管心房调搏对折返性室上性心动过速的定位诊断价值[J].中国社区医师,2015,(5):111-112,2.

中国社区医师

1007-614X

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