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Transesophageal Pacing During Exercise: Is It Useful to Evaluate Palpitations of Unknown Origin?

  • A. Bonso
  • L. Corò
  • P. Delise
  • A. Raviele
Conference paper

Abstract

Transesophageal atrial pacing was first attempted by Shafiroff and Linder in 1957 (1). However, it could not be employed because of its low tolerance due to the high intensity necessary for the stimulation.This limitation was overcome by Gallagher in 1982 (2), who lengthened the distance between the electrodes while giving a longer electric pulse duration.

Keywords

Ventricular Tachycardia Atrial Fibrillation Atrial Tachycardia Mitral Valve Prolapse Atrial Pace 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Shafiroff BFP, Linder J (1957) Effects of external electrical pacemaker stimuli on the human heart. J Thorac Cardiovasc Surg 33: 544–550Google Scholar
  2. 2.
    Gallagher JJ, Smith WM, Kassel J et al (1982) Esophageal pacing: a diagnostic and therapeutic tool. Circulation 65: 336–341PubMedCrossRefGoogle Scholar
  3. 3.
    Brembilla-Perrot B, Spatz F, Khaldi E et al (1990) Value of esophageal pacing in evaluation of supraventricolar tachycardia. Am J Cardiol 65: 322–330PubMedCrossRefGoogle Scholar
  4. 4.
    Delise P, Bonso A, Allibardi P et al (1990) Valore clinico e prognostico della valutazione della vulnerabilità atriale con lo studio elettrofisiologico endocavitario e transesofageo. G Ital cardiol 20: 533–542PubMedGoogle Scholar
  5. 5.
    Vergara G, Furlanello F, Disertori M et al (1988) Induction of supraventricular tachyarrhytmia at rest and during exercise with transesophageal atrial pacing in the electrophysiological evaluation of asymptomatic athletes with Wolf-ParkinsonWhite syndrome. Eur Heart J 9: 1119–1125PubMedGoogle Scholar
  6. 6.
    Bonso A, D’Este D, Delise P et al (1991) Palpitazioni di origine sconosciuta: qual’è l’utilità della stimolazione atriale transesofage? In: Piccolo E, Raviele A (eds) Proceedings of the International Workshop on Cardiac Arrhythmias, Venice, 24–26 October. Centro Scientifico Editore, Turin, pp 229–236Google Scholar
  7. 7.
    Pongiglione G, Saul JP, Dunnigam A et al (1988) Role of trans-esophageal pacing in evaluating of palpitations in children and adolescents. Am J Cardiol 62: 556–570CrossRefGoogle Scholar
  8. 8.
    Brodsky M, Wu D, Denes P et al (1977) Arrhythmias documented by 24 hour continuous electrocardiographic monitoring in 50 male medical students without apparent heart disease. Am J Cardiol 39: 390PubMedCrossRefGoogle Scholar
  9. 9.
    Coelho A, Palileo E, Ashlej W et al (1986) Tachyarrhythmias in young athletes. J Am colt Cardiol 7: 247–253CrossRefGoogle Scholar
  10. 10.
    Huycke EC, Lai WT, Nguyen NX et al (1989) Role of intravenous isoproterenol in the electrophysiologic induction of atrioventricular node reentrant tachycardia in patients with dual atrioventricular node pathways. Am J Cardiol 64: 1131–1137PubMedCrossRefGoogle Scholar
  11. 11.
    Rhodes LA, Walsh EP, Saul P (1994) Programmed atrial stimulation via the esophagus for the management of supraventricular arrhythmias in infants and children. Am J Cardiol 74: 353–356PubMedCrossRefGoogle Scholar
  12. 12.
    Delise P, D’Este D, Bonso A et al (1989) Utilità dello studio elettrofisiologico transesofageo durante test ergometrico nella valutazione delle tachicardie parossistiche sopraventricolari insorgenti sotto sforzo. G Ital Cardiol 19: 1094–1104PubMedGoogle Scholar
  13. 13.
    Biffi A, Ammirati F, Caselli G et al (1993) Usefulness of trans-esophageal pacing during exercise for evaluating palpitations in top-level athletes. Am J Cardiol 72: 922–929PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • A. Bonso
    • 1
  • L. Corò
    • 1
  • P. Delise
    • 1
  • A. Raviele
    • 1
  1. 1.Divisione di CardiologiaOspedale Umberto IMestre - VeniceItaly

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