CAJ | 학술논문

本文报道1例患者因胸痛、心悸入院治疗。在住院过程中因存在窦性心动过缓及阵发性室上性心动过速，行经食管心房调搏检查。在检查过程中患者出现心室扑动，观察过程中心室扑动蜕变为心室纤颤。通过实施非同步直流电除颤，患者转复为窦性心律。经食管心房调搏是一种相对安全的检查，但检查过程中应注意心电变化及备好抢救措施。
본문보도1례환자인흉통、심계입원치료。재주원과정중인존재두성심동과완급진발성실상성심동과속，행경식관심방조박검사。재검사과정중환자출현심실복동，관찰과정중심실복동세변위심실섬전。통과실시비동보직류전제전，환자전복위두성심률。경식관심방조박시일충상대안전적검사，단검사과정중응주의심전변화급비호창구조시。
This article reported a patient admitted to hospital with chest pain and palpitation. He was given transesopha-geal atrial pacing examination for sinus bradycardia and paroxysmal supraventricular tachycardia. Ventricular flutter was induced, and ventricular fibrillation appeared during the inspections. The patient recovered to sinus rhythm by the applying of non-synchro-nous defibrillation. Transesophageal atrial pacing is a relatively safe examination,but ECG change should be noted and emergency should be prepared.