右心房自由壁から発生する非典型的心房振動です
J G Kall1, D S Rubenstein, D E Kopp
1University of Chicago, Chicago, Illinois, USA. jkall@medicine.bsd.uchicago.edu
Circulation
|January 25, 2000
まとめ
アチピカルな心房は,右心房のフリー壁で起こりうるので,三円の近くに限ったことではない. この領域を標的とした線形アブレーションは,この形の心房を効果的に排除し,再発を予防します.
科学分野:
- 心臓病学 心臓病学
- 電気生理学 電気生理学
- 心律不整症とは,心律不整症のこと.
背景:
- 心房のマクロ・リエントラント回路は,典型的な静脈から離れた障壁によって影響を受けることがあります.
- ヒトにおける非典型心房 (AAFL) に関するデータは限られている.
研究 の 目的:
- 右心房自由壁から発生するAAFLの消去を特徴づけ,調査する.
主な方法:
- 典型的な心房フラッターアブレーションを受けた患者のマッピングと放射性アブレーション.
- リエントラント回路の高密度電気解剖学マッピング.
- 下側右心房を標的とした線形剥離.
主要な成果:
- AAFLは,典型的な心房の除去のために紹介された160人の患者のうち6人に確認されました.
- 右心房のブロックラインから下 vena cavaへの放射性アブレーションは,AAFLを終了しました.
- フォローアップ期間中にAAFLの再発は観察されなかった (平均18ヶ月).
結論:
- 心房の振動は,右心房のフリー壁から発生することがあります.
- このAAFLは,一部の患者で以前に説明できない振動を説明する可能性がある.
- 下側右心房の線形切除は,このAAFLの効果的な治療法です.
関連する概念動画
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