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用经右心导管心房调搏加速心率的方法测定冠状动脉机能已有20年历史。以往因需静脉切开或穿刺插入导管限制了临床应用。在用食管心房调搏诊断和治疗31例室上性心动过速时发现2例有缺血性ST 下降或心绞痛发作,他认为经食管心房调搏可以发现冠状动脉供血不足。国内首先由苏州医学院附院报告应用食管调搏作为心负荷试验。我院内科1984年4月开始用食管心房调搏来代替经右心导管心房调搏的方法进行加速心率试验,初步总结如下。
Coronary artery function has been measured over 20 years using a method of atrial pacing via right heart catheterization to accelerate heart rate. In the past due to venipuncture or puncture catheter insertion limits the clinical application. In the diagnosis and treatment of 31 cases of supraventricular tachycardia with esophageal atrial pacing found 2 cases of ischemic ST decreased or angina pectoris, he believes that transesophageal atrial pacing can be found coronary insufficiency. At home, Suzhou Medical College First Affiliated Hospital report esophageal pacing as the heart load test. Department of Internal Medicine in April 1984 began with esophageal atrial pacing to replace the right heart catheterization atrial pacing method to accelerate heart rate test, the initial summary is as follows.