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[Esophageal pacing in children. 38 consecutive cases]
1Centre de Cardiologie Infantile, Château des Côtes, Les Loges-en-Josas.
Archives Francaises De Pediatrie
|March 1, 1990
Summary
Esophageal pacing effectively treats supraventricular tachycardias and aids in diagnosing arrhythmias. This technique is valuable for assessing heart conditions in both adults and children.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Context:
- Esophageal pacing is an established technique for cardiac rhythm management.
- A preliminary series of 38 cases is reviewed to assess its efficacy and indications.
- Technical improvements have expanded the applicability of esophageal pacing.
Purpose:
- To review the esophageal pacing technique and its primary indications.
- To evaluate its therapeutic role in managing supraventricular tachycardias.
- To highlight its utility as a diagnostic tool for various cardiac arrhythmias.
Summary:
- Esophageal pacing can successfully decrease supraventricular tachycardias, including typical/atypical flutter and reciprocating nodal tachycardia (with or without Wolff-Parkinson-White syndrome).
- Diagnostic applications include identifying paroxysmal tachycardia, assessing accessory pathway refractoriness (WPW), and evaluating antiarrhythmic medication efficacy.
- It is also used to assess sinusal function, atrioventricular conduction (Wenckebach point), and spontaneous rhythm in atrioventricular blocks post-pacemaker insertion.
Impact:
- Provides a less invasive method for diagnosing and managing cardiac arrhythmias.
- Offers a valuable tool for electrophysiological studies and therapeutic interventions.
- Enables the use of esophageal pacing in pediatric cardiology for managing arrhythmias in children.