摘要
目的对比观察老年阵发性室上性心动过速(paroxysmal supraventricular tachycardia,PSVT)患者通过食道心房调搏(transesophageal atrial pacing,TEAP)与药物复律的效果。方法 45例老年PSVT患者心动过速发作时分别应用TEAP和药物终止PSVT发作,观察心动过速的终止方式、终止时间及并发症的发生情况。TEAP终止PSVT发作采用超速刺激,药物复律采用ATP、心律平及可达龙。结果 TEAP组患者心动过速终止时间(2～30 s)少于药物组(5 s～10h)。TEAP组PSVT终止率(100%)高于药物组终止率(94.7%),无统计学意义(P>0.05)。药物组患者窦性停搏、低血压并发症高于TEAP组(P<0.05)。复律后早搏及胸痛等并发症两组无统计学意义(P>0.05)。结论老年PSVT患者特别是合并器质性心脏病患者首选TEAP术终止心动过速发作。通过TEAP电生理检查能明确心律失常类型,具有安全性高、创伤小及快速终止优点。
Objective To compare the efficacy of cardioversion in elderly patients with paroxysmal supraventricular tachycar-dia（PSVT） by transesophageal atrial pacing（TEAP） and drug. Methods 45 elderly patients with PSVT were applied respec-tively TEAP and drug to terminate tachycardia, the tachycardia termination mode, termination time and complications were ob- served. TEAP terminated PSVT using overdrive stimulation. Pharmacologic cardioversion using ATP,propafenone and amiodarone. Results The time of tachycardia termination in TEAP group （2 -30 seconds ） was less than that in drug group （5 second - 10 hours）. PSVT termination rate in group of TEAP（ 100% ） were higher than that in drug group termination rate（94.7% ） ,P 〉 O. 05. The sinus arrest and hypotension complications in drug group were higher than those in TEAP group （ P 〈 0.05 ）. Premature beat, chest pain and other complications in the two groups were not statistically significant （ P 〉 0.05 ）. Conclusion The TEAP was preferred to terminate tachycardia in elderly patients with PSVT, especially combined with organic heart disease. Through the TEAP electrophysiological examination can clarify the types of arrhythmia, which had high safety,less trauma and rapid termina-tion of advantages.
出处
《中华全科医学》
2013年第2期181-182,共2页
Chinese Journal of General Practice
关键词
阵发性室上性心动过速
食道心房调搏
并发症
老年
Paroxysmal supraventricular tachycardia
Transesophageal atrial pacing
Complication
Elderly
