Чреспищеводная электростимуляция в оценке предсердно-узлового проведения

Transesophageal electric stimulation (TES) is a method of non-invasive cardiac electrophysiology studies. The aim of the study is to evaluate the possibility of TES in the research into atrio-nodal conductions. The scientific innovation is in a non-invasive analysis of the heterogeneity of the refra...

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Main Author: Д. А. Швец
Format: Article
Language:Russian
Published: SINAPS LLC 2016-03-01
Series:Архивъ внутренней медицины
Subjects:
Online Access:https://www.medarhive.ru/jour/article/view/34
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author Д. А. Швец
author_facet Д. А. Швец
author_sort Д. А. Швец
collection DOAJ
description Transesophageal electric stimulation (TES) is a method of non-invasive cardiac electrophysiology studies. The aim of the study is to evaluate the possibility of TES in the research into atrio-nodal conductions. The scientific innovation is in a non-invasive analysis of the heterogeneity of the refractory period of atrio-nodal connections. 249 patients were examined. By the nature of AV-conduction curve the patients were divided into 2 groups. The first group (109 persons) consisted of the patients with diagnosed transition point (TP). The second group included 140 people, whose V1-V2 dependence of A1-A2 was close to a line — without a TP. It was discovered that the differences in atrio-nodal conductions depend on the effective refractory period of atrioventricular connection. A low index of ERP atrio-nodal conduction is more physiological and accompanied (ERP) by the absence of the increase heart rate under the most further increase the frequency atrial stimulation. A high index of ERP can be caused by different reasons. This variant of atrio-nodal conductions is followed by less favorable changes in hemodynamics.
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spelling doaj.art-9caa60282462452da10e6f98ed3fc89f2025-03-02T12:48:58ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642016-03-0161545710.20514/2226-6704-2016-6-1-54-57607Чреспищеводная электростимуляция в оценке предсердно-узлового проведенияД. А. Швец0ОГУЗ Орловская областная клиническая больницаTransesophageal electric stimulation (TES) is a method of non-invasive cardiac electrophysiology studies. The aim of the study is to evaluate the possibility of TES in the research into atrio-nodal conductions. The scientific innovation is in a non-invasive analysis of the heterogeneity of the refractory period of atrio-nodal connections. 249 patients were examined. By the nature of AV-conduction curve the patients were divided into 2 groups. The first group (109 persons) consisted of the patients with diagnosed transition point (TP). The second group included 140 people, whose V1-V2 dependence of A1-A2 was close to a line — without a TP. It was discovered that the differences in atrio-nodal conductions depend on the effective refractory period of atrioventricular connection. A low index of ERP atrio-nodal conduction is more physiological and accompanied (ERP) by the absence of the increase heart rate under the most further increase the frequency atrial stimulation. A high index of ERP can be caused by different reasons. This variant of atrio-nodal conductions is followed by less favorable changes in hemodynamics.https://www.medarhive.ru/jour/article/view/34transesophageal electrostimulationatrio-nodal conductionsav-connectionrefractory period
spellingShingle Д. А. Швец
Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
Архивъ внутренней медицины
transesophageal electrostimulation
atrio-nodal conductions
av-connection
refractory period
title Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
title_full Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
title_fullStr Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
title_full_unstemmed Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
title_short Чреспищеводная электростимуляция в оценке предсердно-узлового проведения
title_sort чреспищеводная электростимуляция в оценке предсердно узлового проведения
topic transesophageal electrostimulation
atrio-nodal conductions
av-connection
refractory period
url https://www.medarhive.ru/jour/article/view/34
work_keys_str_mv AT dašvec črespiŝevodnaâélektrostimulâciâvocenkepredserdnouzlovogoprovedeniâ