阿托品试验97例分析

Analysis of Atropine test in 97 cases

关键词:  阿托品试验  阳性  病态窦房结综合征  食管心房调搏

Key words:  Atropine test  positive  Sick Sinus Syndrome  transesophageal atrial pacing

摘要:

［目的］探讨对疑有病态窦房结综合征（sick sinus syndrome，SSS）患者行阿托品试验的临床价值。［方法］对97例疑有SSS的窦性心动过缓患者做阿托品试验，其中阳性者行食管心房调搏检查以进一步明确SSS之诊断。［结果］97例中78例最快心率＜90次/min，阳性率80.4%；78例行食管心房调搏提示SSS 70例，符合率89.7%。［结论］阿托品试验方法简便，应用于疑有SSS的窦性心动过缓患者可提高对SSS的检出率。

Abstract:

［Objective］To discuss the clinical value of atropine test on the suspected sick sinus syndrome (SSS) cases.［Method］Atropine test was performed in 97 patients with suspected SSS who had sinus bradycardia.Transesophageal atrial pacing (TAP) in the positive ones was used to confirm the diagnosis of SSS.［Results］Among the 97 cases,there were 78 whose fastest heart rates were less than 90 beats per minute.Positive rate was 80.4%.And according to the TAP,it was indicated that there were totally 70 SSS sufferers in those 78 cases.The percentage of conformity was 89.7%.［Conclusion］Atropine test is a simple method and it is better to choose the suspected SSS sufferers that have sinus bradycardia for atropine test so that to raise the percentage of diagnosis.