摘要
目的探讨食道心房调博对房室折返性心动过速诊断、分型及定位的价值,为房室折返性心动过速的诊断及射频消融治疗提供指导及依据。方法分析66例心动过速患者体表及食道心电图,研究RP'间期等数据,将所得结果与心内电生理检查结果相比较,计算食道心房调博对左侧旁道(LAP)、右侧旁道(RAP)判定的敏感性、特异性及准确性。结果食道心房调博对LAP、RAP诊断与心内电生理检查结果无明显差异,对LAP、RAP的诊断具有较高的敏感性、特异性、准确性。结论食道心房调博是一种安全、有效的诊断房室折返性心动过速并对其类型、旁道位置作出判断的无创方法,可作为必要检查,并对射频消融治疗有指导作用。
Objective To explore the transesophageal atrial pacing（TEAP） for atrioventricular reentry tachycardia （AVRT）diagnosis, type and position can provide effective guidance and the basis to the value for atrioventricular reen- try tachycardia diagnosis and treatment of the provision. Methods Analyzed the RPI interval as well as other data of 66 cases of tachycardia patients＇ body and esophageal electrocardiogram. Compared the findings with the cardiac elec- trophysiological test results, the calculation on sensitivity, specificity and accuracy of the transesophageal atrial pacing for left accessory pathway （LAP）, right accessory pathway （RAP） can be made. Results TEAP had high sensitivity, specificity and accuracy for the diagnosis of RAP and LAP. Cooclusion TEAP is a safe, effective and non-invasivc di- agnosis towards AVRT and its type as well as the verdicts of the location of accessory pathway, which can be used as necessary inspections and can play a guiding role to radiofrequeney catheter ablation （RFCA）.
出处
《中国现代医生》
2013年第5期31-32,34,共3页
China Modern Doctor
关键词
食道心房调搏
房室折返性
心动过速
旁道
Transesophageal atrial pacing
Atrioventricular reentry tachycardia
Accessory pathway
