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

@article{Pehrson1994ClinicalVO,
  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 Michael Pehrson and Carina Blomstr{\"o}‐LUNDQVIST and Erik Ljungstr{\"o} and Per Blomstr{\"o}},
  journal={Clinical Cardiology},
  year={1994},
  volume={17}
}
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… Expand
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Transesophageal atrial pacing was used to evaluate the cause of palpitations in 28 patients and electrophysiologic characteristics of induced tachycardia suggested reentry within the atrioventricular node or orthodromic reciprocating tachycardsia. Expand
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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. Expand
Value of esophageal pacing in evaluation of supraventricular tachycardia.
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The location of the P wave in V1 compared to the ventriculogram and the esophageal electrocardiogram helped to define the mechanism of tachycardia. Expand
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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. Expand
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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. Expand
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Esophageal pacing is a useful method for identifying patients at risk with the W-P-W syndrome and for assessing appropriate management in individual patients, and amiodarone provides protection against life-threatening arrhythmias in these patients. Expand
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TLDR
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. Expand
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TLDR
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. Expand
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