心房心房節の領域からの表面電位と,その関係と二重経路電気生理学との関係
1Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. mazgalt@ccf.org
Circulation
|May 3, 2000
まとめ
二重心房内枢纽 (AVN) 電気生理学には,高速と遅い波線が含まれる. コッホの三角形の表面電位は,AVN再侵入性心拍動症のより良い治療のために,これらの二重波面を識別するのに役立ちます.
科学分野:
- 電気生理学 電気生理学
- 心臓電気生理学 心臓電気生理学
- アトリオベントリキュラーノダル機能
背景:
- AVN再突入性タキカルディアの臨床治療は,AVN電気生理学の経験的発見に依存しています.
- 導導曲線とカテーテル信号は,遅い/速い波面に関する検証が欠けている.
研究 の 目的:
- AVNにおける表面電図と二重波面との関係を調査する.
- AVN電気生理学の指標として表面電位を検証する.
主な方法:
- ウサギの心房-AVN製剤に関するインビトロ研究.
- 双極ロビングと細胞内マイクロエレクトロッドによるプログラムされた電気刺激.
- コッホの心臓内膜表面の三角形の探査.
主要な成果:
- 7/10製剤でコンパクトなAVN領域の近くで観測された二重成分表面電図.
- 解離は,ウェンケバッハ周期と管刺激の間に示された.
- セルラー録音は,異なる耐火性特性を有する,明確な高速と遅い波線を確認した.
結論:
- プログラムされたペースは,Koch.の三角形の二重波面表面ポテンシャルを明らかにします.
- これらの可能性の臨床的検証は,二重 AVN 電気生理学を定義する際の重要なツールとなる可能性があります.
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