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目的:探讨1693例经食道电生理检查诱发快速性心律失常的诊断及分型的准确性。方法:收集经食道电生理检查诱发快速性心律失常的1693例患者,同时进行心内电生理检查术和射频消融术治疗,并进行诊断及分型比较。统计相对于心内电生理与食道电生理检查的诊断符合率。结果:食道电生理检查对左侧旁路伴房室折返性心动过速的诊断符合率达97.71%;右侧旁路伴房室折返性心动过速达95.45%;双径路伴房室结折返性心动过速达92.97%;三径路伴房室结折返性心动过速达100%;房性心动过速达100%;心房扑动达100%;心房颤动100%;长RP′心动过速94.44%;室性心动过速95.74%。结论:食道电生理检查具有无创、简便、费用低廉等优点,对快速性心律失常的诊断、分型及终止具有重要的价值。
Objective: To investigate the diagnosis and classification accuracy of 1693 cases of tachyarrhythmia induced by transesophageal electrophysiological examination. Methods: A total of 1693 patients with tachyarrhythmia induced by transesophageal electrophysiological examination were enrolled in the study. Cardiac electrophysiological examination and radiofrequency ablation were performed simultaneously. The diagnosis and classification were compared. Statistics relative to intracardiac electrophysiology and esophageal electrophysiological examination diagnostic coincidence rate. Results: The coincidence rate of esophageal electrophysiological examination was 97.71% for diagnosis of left atrium with atrioventricular reentrant tachycardia; 95.45% for right atrium with atrioventricular reentrant tachycardia; Tachycardia reached 92.97%; three pathway with atrioventricular nodal reentrant tachycardia reached 100%; atrial tachycardia reached 100%; atrial flutter up to 100%; atrial fibrillation 100%; long RP ’tachycardia 94.44%; room 95.74% of tachycardia. Conclusion: The esophageal electrophysiological examination has the advantages of noninvasive, simple and inexpensive, and has important value for the diagnosis, classification and termination of tachyarrhythmia.