Research on esophageal pacing in termination of old patients with paroxysmal supraventricular tachycardia heartbeat
10.3760/cma.j.issn.1008-6706.2015.03.036
- VernacularTitle:食管调搏终止老年人难治性室上性心动过速的疗效及安全性研究
- Author:
Honger LI
;
Liping ZHAO
;
Yamei ZHANG
- Publication Type:Journal Article
- Keywords:
Esophageal pacing;
Tachycardia,supraventricular;
Curative effect;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(3):427-429
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy and safety of esophageal pacing in termination of old patients with paroxysmal supraventricular tachycardia heartbeat.Methods A total of 68 elderly cases with paroxysmal supraventricular tachycardia heartbeat were given the esophageal pacing termination of therapy,who were treated with overdrive suppression method and a burst termination,and the clinical curative effect and adverse reaction in the two groups were observed.Results 34 cases were given overdrive suppression method,19 cases were successful,the success rate was 55.9％,the direct restoration of sinus rhythm includes 14 cases after the termination,accounting for 73.6％,heartbeat bradycardia occurred in 3 cases after termination,heart rate less than 50 beats per minute,and then disappeared.With a burst of 34 cases,31 cases were successful,the success rate was 91.2％,the direct restoration of sinus rhythm includes 25 cases after the termination,accounting for 80.6％,heartbeat bradycardia occurred in 4 cases after termination,heart rate less than 50 beats per minute,and then disappeared.Conclusion Esophageal pacing is an electrophysiological examination and treatment method with noninvasive,safe and effective advantages,the termination of PSVT has higher success rate,and it can distinguish between different types of PSVT.Compared with overdrive suppression method,burst terminate PSVT pulse method has higher success rate,it is worthy application in clinical.
