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两种方法逆行P波检出率的对比研究

Comparison of two methods for recognizing retrograde P wave
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摘要 为提高逆行P波(p^-波)检出率,用食管调搏法和常规心电图法对比观察37例隐匿性旁道参与的室上性心动过速患者Ⅰ、Ⅱ、V_1导联p^-波的检出率和极性确定率。结果提示:食管调搏法的p^-波检出率和极性确定率(100%、100%)远高于常规心电图法(46.8%、36.9%)(P<0.01)。认为食管调搏是鉴别室上速机制和无创伤定位隐匿性旁道的简便、可靠的手段。 In order to improve recognition rate of retrograde P wave (P-wave) , we used esophageal pacing and conventional electrocardiogram respectively to recognize P- wave and to identify polarity of P- wave in lead Ⅰ , Ⅱ and V1 in 37 patients with supraventricular tachycardia (SVT), utilizing a concealed atrioventricular accessory pathway. Results showed that recognition rate of P- wave and identification, rate of P- wave polarity with use of esophageal pacing (100%, 100%) were significantly higher than those by conventional electrocardiogram (46. 8%, 36. 9%) (P <0. 01). We thus concluded that esophageal pacing was a reliable means for distinguishing mechanism of SVT and non-traumaticly localizing concealed accessory pathways.
出处 《心电学杂志》 1996年第4期197-198,共2页 Journal of Electrocardiology(China)
关键词 食管调搏 心电图 隐匿性 旁道 逆行P波 esophageal pacing conventional electrocardiogram concealed accessory pathway retrograde P wave
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