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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
Szili-Torok T, Mikhaylov E, Witsenburg M. Transoesophageal electrophysiology study for children: can we swallow the limitations? Europace. 2009;11:987–8.
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.
Verbeet T, Castro J, Decoodt P. Transesophageal pacing: a versatile diagnostic and therapeutic tool. Indian Pacing Electrophysiol J. 2003;3:202–9.
Volkmann H, Dannberg G, Heinke M, Kühnert H. Termination of tachycardias by transesophageal electrical pacing. Pacing Clin Electrophysiol. 1992;15:1962–6.
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.
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.
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.
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.
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.
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.
FIAB. Tranesophageal and diagnostic pacing leads specifications. http://www.fiab.it/en/prodotti.php?id=36.
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.
Brown WH. A study of the esophageal lead in clinical electrocardiography. Am Heart J. 1936;12:307–38.
Butterworth S, Poindexter CA. The esophageal electrocardiogram in arrhythmias and tachycardias. Am Heart J. 1946;32:681–8.
Enselberg CD. The esophageal electrocardiogram in the study of atrial activity and cardiac arrhythmias. Am Heart J. 1951;41:382.
Tiwari VD, Balasubramanian V, Durairaj M, Hoon RS. The esophageal electrocardiogram in normal Indian subjects. Indian J Med Res. 1975;63:422.
Jenkins JM, Arzbaecher R. Chapter 14: esophageal electrocardiography. In: Liebman J, Plonsey R, Rudy Y, editors. Pediatric and fundamental electrocardiography. New York: Springer; 1987.
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.
Brignole M, et al. The use of atrial pacing to induce atrial fibrillation and flutter. Int J Cardiol. 1986;12:45–54.
Gallagher JJ, Smith WM, et al. Esophageal pacing: a diagnostic and therapeutic tool. Circulation. 1982;652:336–41.
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.
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.
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.
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.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
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)