Value of transesophageal atrial pacing in neonates with tachyarrhythmia
CHEN Ming, QIN Jie-Hua, TAN Xiao-Lin, HUANG Jun, MA Li-Zhong, ZHANG Xiao-Min, WU Jia-Rong
Department of Electrophysiology, Zhongshan Bo'ai Hospital Affiliated to Southern Medical University, Zhongshan, Guangdong 528403, China
Abstract Objective To study the value of transesophageal atrial pacing (TEAP) in neonates with tachyarrhythmia. Methods The clinical data of 26 neonates with tachyarrhythmia who underwent TEAP electrophysiological examination or cardioversion were collected. Results Of the 26 neonates, 15(58%) were diagnosed with atrioventricular reentrant tachycardia, 3(12%) were diagnosed with sinus tachycardia, 3(12%) were diagnosed with ventricular tachycardia, 2(8%) were diagnosed with fast/slow atrioventricular nodal reentrant tachycardia, 2(8%) were diagnosed with atrial tachycardia, and 1(4%) was diagnosed with sinus tachycardia with ventricular preexcitation. Overdrive suppression was performed for 22 neonates, among whom 18 achieved successful cardioversion, and 2 with atrial tachycardia and 2 with ventricular tachycardia failed to restore sinus rhythm. Conclusions TEAP is helpful to the diagnosis of tachyarrhythmia in neonates and can bring about a high rate of cardioversion success.
Key words :
Tachyarrhythmia
Transesophageal atrial pacing
Neonate
Received: 10 April 2018
[1] 劳金泉, 黄伟萍, 潘强, 等. 儿童首次发作阵发性室上性心动过速病例随访结果分析[J]. 右江民族医学院学报, 2013, 35(1):45-46.
[2] 屈顺梅, 李筠. 经食管心房调搏在儿童阵发性室上性心动过速机制研究中的价值[J].临床儿科杂志, 2016, 34(3):201-203.
[3] 魏东, 龚小慧, 裘刚, 等. 食管调搏治疗新生儿室上性心动过速24例临床分析[J]. 临床儿科杂志, 2014, 32(1):23-25.
[4] 马力忠, 莫庆仪, 梁桂明, 等. 小儿阵发性室上性心动过速102例临床复律方法分析[J].儿科药学杂志, 2015, 21(16):24-27.
[5] Jastrzebski M, Kukla P, Czarnecka D, et al. Comparison of five electrocardiographic methods for differentiation of wide QRS-complex tachycardias[J]. Europace, 2012, 14(8):1165-1171.
[6] Ertuğrul I, Yıldırım I, Şahin M, et al. Atrial flutter cardioversion in pediatric patients by postoperative transesophageal pacing[J]. Turk Gogus Kalp Dama, 2016, 24(1):15-19.
[7] 蔡惠美, 陈光明, 王承峰, 等. 新生儿阵发性室上性心动过速14例临床分析[J]. 临床军医杂志, 2013, 41(1):81-82.
[8] 李忠杰, 屈百鸣. 食管心脏电生理技术及实例精选[M]. 天津:天津科学技术出版社, 2013:7-11.
[9] 杨月霞. 新生儿阵发性室上性心动过速36例分析[J]. 中国煤炭工业医学杂志, 2013, 16(11):1797-1799.
[10] 王健怡, 杨晓东, 黄敏, 等. 食道心房调搏术在婴幼儿室上性心动过速中的应用[J]. 实用儿科临床杂志, 2011, 26(1):26-27.
[11] 杨金玲, 李爱香. 新生儿阵发性室上性心动过速16例临床分析[J]. 临床医学, 2012, 32(8):78-79.
[12] 李波, 彭茜, 郑植, 等. 射频消融术治疗小儿阵发性室上性心动过速的效果观察[J]. 中国医药导报, 2014, 11(6):47-49.
[13] 周洁,周霞,芦鹤卿. 食道心房调搏对阵发性室上性心动过速的诊断价值[J].医药论坛杂志, 2013, 34(5):81-82.
[14] 陈明, 覃杰华, 吴嘉荣, 等. 食管调搏术终止新生儿左室特发性室性心动过速1例[J].江苏实用心电学杂志, 2014, 23(4):148-150.
[15] Brockmeier K, Ulmer HE, Hessling G. Termination of atrial reentrant tachycardias by using transesophageal atrial pacing[J]. J Electrocardiol, 2002, 35(Suppl):159-163.
[16] 许原, 李忠杰, 杨晓云. 无创心脏电生理诊疗技术[M]. 北京:北京大学医学出版社, 2017:272-273.
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