阿托品试验97例分析

Analysis of Atropine test in 97 cases

[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。

[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.