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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Radiofrequency catheter ablation therapy of swallowing-induced atrioventricular nodal reentrant tachycardia: report of two cases.
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Radiofrequency catheter ablation therapy of swallowing-induced atrioventricular nodal reentrant tachycardia: report of two cases.

机译:吞咽诱发的房室结折返性心动过速的射频导管消融治疗:2例报道。

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摘要

We describe two patients who presented with a history of recurrent palpitations on swallowing of solid food. The event-recorder and Holter monitoring documented episodic supraventricular tachycardia (SVT) initiated by atrial premature contractions (APCs). During electrophysiological study (EPS), swallowing of solid food consistently induced APCs and their activation sequence, morphology of P wave were suggestive of their right atrial origin in them. Drug challenge did not affect the APC onset during the swallowing. During EPS, slow-fast variety of atrioventricular nodal reentrant tachycardia (AVNRT) was induced and successful radiofrequency (RF) catheter ablation of slow pathway resulted in total relief of their symptoms.
机译:我们描述了两名患者,他们有固体食物吞咽复发的心史。事件记录器和动态心电图监测记录了由房性早搏(APC)引发的发作性室上性心动过速(SVT)。在电生理学研究(EPS)中,固体食物的吞咽持续诱导APC及其激活序列,P波形态表明它们是右心房起源。在吞咽过程中,药物挑战并未影响APC的发作。在EPS期间,诱发了房室结折返性心动过速(AVNRT)的慢速变化,并且成功地通过射频(RF)消融慢速路径导致其症状完全缓解。

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