Value of oesophageal pacing in evaluation of atrial arrhythmias.

Abstract:

:The study of 'atrial vulnerability' is often clinically indicated but it requires the use of invasive intracardiac stimulation. The purpose of the study was to assess the use of oesophageal pacing in the evaluation of atrial tachyarrhythmias (ATA). Fifty-five patients with documented ATA (group I) and 60 without (group II) were studied. The protocol of oesophageal pacing consisted of atrial pacing up to the second-degree AV block and programmed stimulation in the control state and after isoproterenol infusion. ATA was induced in 47 group I patients (85%) either in the control state (n = 27) or during isoproterenol infusion (n = 20) and in three group II patients (5%). There was no other electrophysiological abnormality. The presence of underlying heart disease did not precipitate ATA in group II. In conclusion, because of its good sensitivity (85%) and specificity (95%) transoesophageal pacing could be used to evaluate atrial arrhythmias.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Brembilla-Perrot B

doi

10.1093/oxfordjournals.eurheartj.a060632

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

1085-8

issue

8

eissn

0195-668X

issn

1522-9645

journal_volume

15

pub_type

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