血管迷走性晕厥患者常规电生理检查及左房高频刺激对比研究

张阳; 张庆勇; 陈侃; 解玉水; 王长谦; 姜升阳; 庄少伟

doi:10.13201/j.issn.1001-1439.2020.01.015

血管迷走性晕厥患者常规电生理检查及左房高频刺激对比研究

- 1. 上海德济医院心内科(上海, 200433);
- 2. 上海交大医学院附属第九人民医院心内科;
- 3. 上海第七人民医院心内科

详细信息

通讯作者: 庄少伟,E-mail:10738253@qq.com

中图分类号: R541.7

收稿日期: 2019-07-10

A comparative study of electrophysiological examination and high frequency stimulation in left atria in patients with vasovagal syncope

- 1. Department of Cardiology, Shanghai Deji Hospital, Shanghai, 200433, China;
- 2. Department of Cardiology, the Ninth People's Hospital, Medical College, Shanghai Jiaotong University;
- 3. Department of Cardiology, the Seventh People's Hospital in Shanghai

More Information

Corresponding author: ZHUANG Shaowei, E-mail: 10738253@qq.com

Received Date: 10 July 2019

摘要

摘要: 目的:对比研究血管迷走性晕厥患者常规电生理检查及左房高频刺激。方法:11例拟行迷走神经节消融的血管迷走型晕厥患者术中先行常规心脏电生理检查评价窦房结及房室结功能后,房间隔穿刺后,在左房迷走神经节丰富的部位行高频刺激方案,治疗终点:消融后不再出现心脏迷走反应。结果:11例常规电生理检查正常范围的患者,在左房高频刺激方案中3例检出显著心动过缓(P<0.05)。结论:在迷走型晕厥缓慢性心律失常排查中常规电生理检查有一定的漏诊,左房高频刺激方案可以作为补充,并为进一步迷走神经节消融提供指导。
- 电生理检查 /
- 血管迷走性晕厥 /
- 左房高频刺激 /
- 迷走神经节消融
Abstract: Objective:To Compare the conventional electrophysiological examination and left atrial high frequency stimulation in patients with vasovagal syncope.Method:Eleven patients with vasovagal syncope scheduled to undergo vasovagal ganglion plexuses ablation underwent conventional electrophysiological examination to evaluate the function of sinoatrial node and atrioventricular node.High frequency stimulation was performed at the abundant sites of left atrial vagal ganglion after atrial septum puncture.Terminal therapy point:No cardiac vagal reaction occurred after ablation.Result:In 11 patients with normal range of routine electrophysiological examination,3 patients with significant bradycardia were detected in the high frequency stimulation(P＜0.05).Conclusion:Conventional electrophysiological examinations in the screening of bradyarrhythmia in vagal syncope have some missed diagnosis.High frequency stimulation measurement can be used as a supplement and provide guidance for further vagal ganglion plexuses ablation.
- electrophysiological examination /
- vasovagal syncope /
- high frequency stimulation in left atria /
- vasovagal ganglion plexuses ablation

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参考文献(5)

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