Clinical value of transesophageal atrial stimulation and recording in patients with arrhythmia‐related symptoms or documented supraventricular tachycardia—correlation to clinical history and invasive studies

  title={Clinical value of transesophageal atrial stimulation and recording in patients with arrhythmia‐related symptoms or documented supraventricular tachycardia—correlation to clinical history and invasive studies},
  author={Steen Pehrson and Carina Blomstr{\"o}‐LUNDQVIST and Erik Ljungstr{\"o} and Per Blomstr{\"o}},
  journal={Clinical Cardiology},
The main objective of the present study was to evaluate the clinical applicability of transesophageal atrial stimulation (TAS) and recording with regard to inducibility of supraventricular tachycardia (SVT) in patients with either an ECG‐documented paroxysmal SVT or a clinical history of palpitations suggesting this disease. A further objective was to assess the inducibility of SVT and to compare the inducibility by TAS with that obtained by an invasive electrophysiologic study (EPS). A total… 

Use of transesophageal atrial pacing for documentation of arrhythmias suspected in infants and children.

Transesophageal atrial pacing and recording was less invasive, safe and useful for documenting arrhythmias in infants and children who had symptoms suggesting tachyarrhythmia, especially in patients < 6 years of age.

Is transesophageal electrophysiologic study valuable in children with successful radiofrequency ablation of supraventricular tachycardia on follow-up for recurrence?

TEEPS seems to be a valuable screening and diagnostic method for the determination of recurrence in symptomatic and asymptomatic children after successful radiofrequency ablation (RFA) for SVT.

Transesophageal electrophysiologic study in children and young patients.

In conclusion, transesophageal atrial stimulation is a valuable tool in the initial evaluation of patients with symptoms possibly related with arrhythmia or in the management of patients who have any arrhythmias.

Comparison of Transesophageal and Intracardiac Electrophysiologic Studies for the Diagnosis of Childhood Supraventricular Tachycardias

A diagnostic discrepancy mostly occurs in patients diagnosed with AVRT by TEEPS, and the possibility of atypical AVNRT should be considered in patients with a VA ≥70 ms to avoid such discrepancies.

The optimal oesophageal pacing technique--the importance of body position, interelectrode spacing, electrode surface area, pacing waveform and intra-oesophageal local anaesthesia.

The optimal pacing technique for TAS remains to be defined and the TAS-induced pain is probably not generated from the oesophageal mucous membrane.

Arrhythmia Induction During Transesophageal Electrophysiological Study

  • K. Chan
  • Medicine
    Arrhythmia Induction in the EP Lab
  • 2019
Electrophysiologic studies are a series of invasive diagnostic procedures performed in a dedicated electrophysiology suite or laboratory to establish the presence of various forms of arrh rhythmias and to establish baseline information in patients receiving or due to undergo pharmacologic, electrical, or ablative treatment for arrhythmias.

Sensitivity of Transesophageal Electrophysiologic Study in Children with Supraventricular Tachycardia on Electrocardiography

The aim of this study was to evaluate the inducibility of tachycardia by transesophageal electrophysiologic study (TEEPS) in patients with documented supraventricular tachycardia (SVT) on

Arrhythmia induction using isoproterenol or epinephrine during electrophysiology study for supraventricular tachycardia

Electrophysiology study is an important part of the diagnosis and workup for supraventricular tachycardia (SVT) and recent price increases have resulted in a shift toward the nonspecific agonist, epinephrine.

Paroxysmal Regular Supraventricular Tachycardia: The Diagnostic Accuracy of the Transesophageal Ventriculo‐Atrial Interval

  • F. BraunschweigP. Christel L. Bergfeldt
  • Medicine
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
  • 2011
Objective: To establish the diagnostic accuracy of the transesophageal ventriculo‐atrial (VA) interval in patients with paroxysmal supraventricular tachycardia (PSVT) and normal baseline



Transesophageal Versus Intracardiac Atrial Stimulation in Assessing Electrophysiologic Parameters of the Sinus and AV Nodes and of the Atrial Myocardium

It seemed clear that the site of origin of an atrial impulse can have definite effects upon excitability and conduction properties of atrial and AV nodal fibers.

Electropharmacological testing by transoesophageal atrial pacing in inducible supraventricular tachyarrhythmias. A good approach for selection of long-term anti-arrhythmic therapy.

Electropharmacological testing with transoesophageal pacing constitutes a very good approach for inducible supraventricular tachyarrhythmias: it permits selection of optimal long-term anti-arrhythmic treatment and is well tolerated, only slightly invasive and without adverse effects.

The diagnosis and management of supraventricular tachycardia by transesophageal cardiac stimulation and recording.

Esophageal stimulation and recording provides a simple noninvasive procedure which can be utilized as a screening technique to identify patients with intranodal reentry and those with reentry utilizing an accessory pathway.

Use of the Esophageal Lead in the Diagnosis of Mechanisms of Reciprocating Supraventricular Tachycardia

Esophageal electrograms recorded during reciprocating tachycardia provides a simple screening procedure available to all practicing physicians to exclude the diagnosis of accessory atrioventricular pathways in the genesis of paroxysmal supraventricular tachycardsia.

Esophageal Pacing: A Diagnostic and Therapeutic Tool

It is concluded that atrial pacing can be achieved from the esophagus with minimal discomfort in the majority of patients and that esophageal pacing provides a convenient way to assess repeatedly the efficacy of long-term drug therapy and to screen patients for preexcitation syndromes.

The Induction of Atrial Flutter and Fibrillation and the Termination of Atrial Flutter by Esophageal Pacing

Esophageal pacing appears to offer an effective, well tolerated method of initiating atrial fibrillation and flutter and terminating atrial flutters and offers a potentially useful noninvasive method of following patients serially.