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Diagnostic Value of Synchronized Transesophageal Atrial Pacing
Author(s) -
MARINSKY GERMAN,
RIMSA EDUARDAS,
SILEIKIS VYTAUTAS,
KAZAKEVICIUS TOMAS
Publication year - 1991
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1991.tb02860.x
Subject(s) - medicine , cardiology , tachycardia , atrioventricular block , electrophysiology , atrial tachycardia , cardiac pacing , anesthesia , atrial fibrillation , catheter ablation
Synchronized tronsesophageol atrial pacing (single and double extrastimili) was used in 137 patients with various tachycardias inducible by atrial pacing during transesophageal electrophysiologicalstudy (EPS). This pacing mode in five patients initiated atrioventriculur tachycardias with ipsilateral bundle branch block not seen when using other pacing modes. During the tachycardia, single or double extrastimuli caused ipsilateral bundle branch block disappearance in two patients with atrioventricular tachycardia, and changed AV activation ratio in one patient with atrioventricular functional reentrant tachycardia. This pacing mode causes very little discomfort, what is important in children, and enhances diagnostic abilities of transesophageal EPS. So, this pacing mode should be used routinely as one of the steps of transesophageal EPS.