ABSTRACT
Sixty-eight patients with different disorders of the cardiac rhythm were examined in ambulatory conditions. The complex of noninvasive examinations included: echocardiography, Holter monitoring, bicycle ergometry [correction of veloergometry] and transesophageal cardiostimulation with performance of diagnostic and pharmacological tests. The obtained data permitted to evaluate disorders of automatism and conduction at different levels of the cardiac conduction system, to identify paroxysmal tachyarrhythmia and realize selection of antiarrhythmic agents.
Subject(s)
Arrhythmias, Cardiac/diagnosis , Cardiac Pacing, Artificial , Electrocardiography, Ambulatory , Adolescent , Adult , Arrhythmias, Cardiac/physiopathology , Echocardiography , Electrophysiology , Esophagus , Heart Conduction System/physiopathology , Humans , Middle Aged , Physical Exertion/physiologySubject(s)
Anti-Arrhythmia Agents/administration & dosage , Atrioventricular Node/physiopathology , Heart Conduction System/physiopathology , Sinoatrial Node/physiopathology , Tachycardia, Supraventricular/physiopathology , Age Factors , Aged , Atrioventricular Node/drug effects , Electrocardiography, Ambulatory , Humans , Middle Aged , Sinoatrial Node/drug effectsABSTRACT
The differential diagnostic criteria of paroxysmal reciprocating atrioventricular tachycardias were evaluated on the basis of a study of two clinical cases. Noninvasive (transoesophageal) electrophysiological methods were used. Evaluation of the trigger mechanism of arrhythmia, its form in comparison with data of Holter monitoring and vegetative testing allows to institute adequate antiarrhythmic therapy.