Document Detail

Treatment of atrial flutter and rapid atrial tachycardia with transesophageal atrial pacing.
MedLine Citation:
PMID:  2810765     Owner:  NLM     Status:  MEDLINE    
Eight patients with atrial flutter (AF) and rapid atrial tachycardia (AT) (5 common AF, 1 uncommon AF and 2 AT) were treated with transesophageal atrial pacing (TEAP). In 5 patients no antiarrhythmic agent was used during this study, and in 3 patients procainamide was administrated intravenously. Conversion to sinus rhythm was successfully achieved in 7 patients (5 common AF and 2 AT). Two patients were converted to sinus rhythm immediately after pacing, and transient atrial fibrillation was induced before conversion to sinus rhythm in 5 patients. TEAP failed to terminate the arrhythmia in 1 patient with uncommon AF. Administration of procainamide reduced the atrial rate in 2 common AF and 1 AT, which were successfully converted to sinus rhythm by TEAP, but induced a rapid ventricular response in 2 patients, one of whom also developed hypotension before conversion. No significant complication due to TEAP was observed in this study. In conclusion, TEAP is a noninvasive method with fewer complications and has nearly the same high efficacy for converting AF and rapid AT to sinus rhythm as DC cardioversion or transvenous atrial pacing.
S Kaneda; T Inoue; H Fukuzaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  30     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-12-07     Completed Date:  1989-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  471-8     Citation Subset:  IM    
First Department of Internal Medicine, Kobe University School of Medicine, Japan.
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MeSH Terms
Atrial Flutter / physiopathology,  therapy*
Cardiac Pacing, Artificial / methods*
Heart Conduction System / physiopathology
Middle Aged
Procainamide / therapeutic use
Tachycardia / physiopathology,  therapy*
Reg. No./Substance:

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