Skip to main content

Arrhythmia Induction During Transesophageal Electrophysiological Study

  • Chapter
  • First Online:
Arrhythmia Induction in the EP Lab
  • 878 Accesses

Abstract

Electrophysiologic studies are a series of invasive diagnostic procedures performed in a dedicated electrophysiology suite or laboratory. The main purposes of these studies are to establish the presence of various forms of arrhythmias and to establish baseline information in patients receiving or due to undergo pharmacologic, electrical, or ablative treatment for arrhythmias and as workup for various electrophysiologic causes of complaints such as syncope, near syncope, and cardiac arrest. Such studies may also be undertaken in children with various forms of congenital heart disease before and after they have undergone reparative surgery. With this, EP studies remain an indispensable part of today’s modern heart institutes and continue to remain a field of rapid advancement and refinement.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Guidelines for Clinical Intracardiac Electrophysiologic Studies. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee to Assess Clinical Intracardiac Electrophysiologic Studies). Circulation. 1989;80:1925–39.

    Google Scholar 

  2. Zipes DP, Dimarco JP, Gillette PC, Jackman WM, Myerburg RJ, Rahimtoola SH, Ritchie JL, Cheitlin MD, Garson A, Gibbons RJ, Lewis RP, O’Rourke RA, Ryan TJ, Schlant RC. Guidelines for clinical intracardiac electrophysiological and catheter ablation procedures. J Am Coll Cardiol. 1995;26:555–73.

    Article  CAS  Google Scholar 

  3. Szili-Torok T, Mikhaylov E, Witsenburg M. Transoesophageal electrophysiology study for children: can we swallow the limitations? Europace. 2009;11:987–8.

    Article  Google Scholar 

  4. Gallagher JJ, Smith WM, Kerr CR, Kasell J, Cook L, Reiter M, Sterba R, Harte M. Esophageal pacing: a diagnostic and therapeutic tool. Circulation. 1982;65:336–41.

    Article  CAS  Google Scholar 

  5. Verbeet T, Castro J, Decoodt P. Transesophageal pacing: a versatile diagnostic and therapeutic tool. Indian Pacing Electrophysiol J. 2003;3:202–9.

    PubMed  PubMed Central  Google Scholar 

  6. Volkmann H, Dannberg G, Heinke M, Kühnert H. Termination of tachycardias by transesophageal electrical pacing. Pacing Clin Electrophysiol. 1992;15:1962–6.

    Article  CAS  Google Scholar 

  7. Erdoğan I1, Ozer S, Karagöz T, Sahin M, Celiker A. Clinical importance of transesophageal electrophysiologic study in the management of supraventricular tachycardia in children. Turk J Pediatr. 2009;51:578–81.

    PubMed  Google Scholar 

  8. Brembilla-Perrot B, Groben L, et al. Rapid and low-cost method to prove the nature of no documented tachycardia in children and teenagers without pre-excitation syndrome. Europace. 2009;11:1083–9.

    Article  Google Scholar 

  9. Brembilla-Perrot B, Chometon F, et al. Interest of non-invasive and semi-invasive testings in asymptomatic children with pre-excitation syndrome. Europace. 2007;9:837–43.

    Article  CAS  Google Scholar 

  10. Pehrson SM, Blomstrom-Lundqvist C, Ljungstrom E, Blomstrom P. Clinical value of transesophageal atrial stimulation and recording in patients with arrhythmia-related symptoms or documented supraventricular tachycardia correlation to clinical history and invasive studies. Clin Cardiol. 1994;17:528–34.

    Article  CAS  Google Scholar 

  11. Gilly G, Hoyt W, Harmon D, Busch E, Nossaman B, Broussard D, Snyder C. Anesthetic technique for transesophageal electrophysiology studies in pediatric patients with Wolff-Parkinson-White syndrome. Open J Pediatr. 2015;5:17–22.

    Article  CAS  Google Scholar 

  12. Benson DW Jr, Sanford M, Dunnigan A, Benditt DG. Transesophageal atrial pacing threshold: role of interelectrode spacing, pulse width and catheter insertion depth. Am J Cardiol. 1984;53:63–7.

    Article  Google Scholar 

  13. FIAB. Tranesophageal and diagnostic pacing leads specifications. http://www.fiab.it/en/prodotti.php?id=36.

  14. Roth JV, Brody JD, Denham EJ. Positioning the pacing esophageal stethoscope for transesophageal atrial pacing without P-wave recording: implications for transesophageal ventricular pacing. Anesth Analg. 1996;83:48–54.

    Article  CAS  Google Scholar 

  15. Brown WH. A study of the esophageal lead in clinical electrocardiography. Am Heart J. 1936;12:307–38.

    Article  Google Scholar 

  16. Butterworth S, Poindexter CA. The esophageal electrocardiogram in arrhythmias and tachycardias. Am Heart J. 1946;32:681–8.

    Article  CAS  Google Scholar 

  17. Enselberg CD. The esophageal electrocardiogram in the study of atrial activity and cardiac arrhythmias. Am Heart J. 1951;41:382.

    Article  CAS  Google Scholar 

  18. Tiwari VD, Balasubramanian V, Durairaj M, Hoon RS. The esophageal electrocardiogram in normal Indian subjects. Indian J Med Res. 1975;63:422.

    CAS  PubMed  Google Scholar 

  19. Jenkins JM, Arzbaecher R. Chapter 14: esophageal electrocardiography. In: Liebman J, Plonsey R, Rudy Y, editors. Pediatric and fundamental electrocardiography. New York: Springer; 1987.

    Google Scholar 

  20. Bushman GA. Clinical correlates of dysrhythmias requiring an esophageal ECG for accurate diagnosis in patients with congenital heart disease. J Cardiothorac Anesth. 1989;3:290–4.

    Article  CAS  Google Scholar 

  21. Brignole M, et al. The use of atrial pacing to induce atrial fibrillation and flutter. Int J Cardiol. 1986;12:45–54.

    Article  CAS  Google Scholar 

  22. Gallagher JJ, Smith WM, et al. Esophageal pacing: a diagnostic and therapeutic tool. Circulation. 1982;652:336–41.

    Article  Google Scholar 

  23. Kerr CR, Gallagher JJ, Smith WM, et al. The induction of atrial flutter and fibrillation and the termination of atrial flutter by esophageal pacing. Pacing Clin Electrophysiol. 1983;6:60–72.

    Article  CAS  Google Scholar 

  24. Brembilla-Perrot B, Olivier A, Girerd N, Manenti V, Sellal JM, Rizk J, Villemin T. 0019: significance of atrial fibrillation/tachycardia induced by esophageal stimulation. Arch Cardiovasc Dis Suppl. 2015;7:72.

    Google Scholar 

  25. Drago F, Turchetta A, Calzolari A, Giordano U, Di Ciommo V, Santilli A, et al. Reciprocating supraventricular tachycardia in children: low rate at rest as a major factor related to propensity to syncope during exercise. Am Heart J. 1996;132:280–5.

    Article  CAS  Google Scholar 

  26. Brembilla-Perrot B, Spatz F, Khaldi E, Terrier de la Chaise A, Suty-Selton C, Le Van D, Cherrier F, Pernot C. Induction of supraventricular tachycardia (paroxysmal junctional tachycardia and atrial tachycardia) by esophageal stimulation. Arch Mal Coeur Vaiss. 1990;83:1695–702.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chan, K.A. (2019). Arrhythmia Induction During Transesophageal Electrophysiological Study. In: Cismaru, G. (eds) Arrhythmia Induction in the EP Lab. Springer, Cham. https://doi.org/10.1007/978-3-319-92729-9_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-92729-9_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-92728-2

  • Online ISBN: 978-3-319-92729-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics