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Efficacy of transesophageal and transgastric cardiac pacing in the dog.

机译:经细胞源性和综胎心脏起搏在狗的功效。

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摘要

Objectives: Determine if temporary artificial cardiac pacing can be accomplished from transesophageal or transgastric pacing sites. Animals, materials and methods: Nine purpose bred Beagle dogs had a multipolar electrophysiology pacing catheter inserted transnasally and advanced into the distal esophagus or stomach under general anesthesia. Artificial atrial pacing was attempted using a bipolar configuration from the distal esophagus with the dogs in left lateral recumbency. Artificial ventricular pacing was attempted from the distal esophagus and stomach using unipolar and bipolar configurations with the dogs in multiple positions. Results: Transesophageal atrial pacing was accomplished in all dogs with a mean threshold of 10.5 mA (+or-3.9) and a 15 mm polar separation with no skeletal muscle stimulation. All attempts at transgastric and transesophageal ventricular pacing were unsuccessful. Conclusions: Transesophageal atrial pacing using standard cardiac pacing equipment is simple to perform and is a viable alternative to temporary transvenous or transthoracic pacing for supraventricular bradyarrhythmias without atrioventricular conduction disturbances. Transesophageal and transgastric ventricular pacing does not appear possible using the pacing configurations in this study.
机译:目的:确定临时人造心脏起搏是否可以从经细胞反应或常桡骨起搏部位完成。动物,材料和方法:九种目的繁殖比格犬具有多极电生理起搏导管,在全身麻醉下插入跨组网上并进入远端食道或胃。尝试使用从远端食道的双极配置尝试了人造心房起搏。使用单极和双极配置与多个位置的单极和双极配置一起尝试从远端食道和胃。结果:在所有狗的所有狗都完成了经疗法节奏,平均阈值10.5 mA(+或-3.9)和15毫米极性分离,没有骨骼肌刺激。所有血管科医疗术治疗的尝试都是不成功的。结论:使用标准心脏起搏设备的经细菌性心房起搏是简单的,并且是一种可行的替代替代暂时的肺囊性心律失常或无间隙传导扰动的术术或经过静脉曲张的起搏。使用本研究中的起搏配置似乎不能出现过噬细胞和血管室起搏。

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