{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T20:04:44Z","timestamp":1698350684496},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":5240,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1994,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The main objective of the present study was to evaluate the clinical applicability of transesophageal atrial stimulation (TAS) and recording with regard to inducibility of supraventricular tachycardia (SVT) in patients with either an ECG\u2010documented paroxysmal SVT or a clinical history of palpitations suggesting this disease. A further objective was to assess the inducibility of SVT and to compare the inducibility by TAS with that obtained by an invasive electrophysiologic study (EPS). A total of 64 patients (aged 13\u201074 years) with ECG\u2010documented paroxysmal SVT (n = 50) or only a history of palpitations (n = 14) was referred for TAS. Preexcitation was present in 35 patients. The study protocol included single and double extrastimuli delivered at a basic paced interval of 500 ms, and incremental atrial stimulation until a cycle length of 275 ms or a second\u2010degree AV block appeared. In 10 patients atropine intravenously was required for induction. The same protocol was used in 34 of the patients who also underwent invasive EPS. TAS was completed in 56 of 64 patients (88%). In this group SVT was induced during TAS in 84% (47\/56). Of patients with ECG\u2010documented tachycardia, clinical tachycardia was induced in 90% (35\/39) with ECG\u2010documented regular paroxysmal SVT and in 67% of patients (4\/6) with ECG\u2010documented atrial fibrillation. In patients without ECG\u2010documented tachycardia, clinically relevant arrhythmia was induced in 73% (8\/11). In 30 of 32 patients (94%) with an inducible tachycardia during invasive EPS, it was also possible to induce the tachycardia by TAS. We concluded that TAS is a simple and noninvasive diagnostic tool for evaluation of clinical arrhythmia in patients with documented or suspected paroxysmal SVT. The inducibility of SVT seems comparable to that obtained by invasive EPS.<\/jats:p>","DOI":"10.1002\/clc.4960171004","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T06:42:36Z","timestamp":1233729756000},"page":"528-534","source":"Crossref","is-referenced-by-count":11,"title":["Clinical value of transesophageal atrial stimulation and recording in patients with arrhythmia\u2010related symptoms or documented supraventricular tachycardia\u2014correlation to clinical history and invasive studies"],"prefix":"10.1002","volume":"17","author":[{"given":"Steen 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