フォロのテトラロジーが完全に修復された後,シヌスノード機能と伝導システムは完全に修復されました
Circulation
|August 1, 1975
まとめ
フォロ矯正のテトラロジー後の子供における電気生理学的研究は,満足のいくヒス・プルキンジェ系を示しています. しかし,一部の患者は,シヌスノードと心房動脈節の機能不全を示します.
科学分野:
- ペディアトリック・カルディオロジー
- 電気生理学 電気生理学
- 生まれながらの心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,先天性心臓病 (Congenital Heart Disease) とは,
背景:
- テトラロジー・オブ・ファロ (Tetralogy of Fallot) とは,複雑な先天性心不全である.
- 完全な矯正手術は標準的な治療である.
- 心臓の伝導に及ぼす長期的な影響については,調査が必要である.
研究 の 目的:
- フォロット修復のテトラロジー後の子供の心臓伝導システム全体を評価するために.
- シヌスノード機能,ヒースバンドル伝導,心房静脈ノード機能を評価する.
主な方法:
- 電子生理学の研究は,彼のバンドル録音と心房パスを含む.
- H-V間隔,A-H間隔,ペース誘発性心房閉塞の値,シヌスノード回復時間の分析.
- ビファシキュラーブロックの表面電動心臓図 (ECG) 評価.
主要な成果:
- ヒス・プルキンジェ系は23人の子供全員で正常に機能した.
- 4人の患者は,A-H間隔をわずかに延長した.
- 2人の患者はペースインダクションによる心房閉塞の値異常を示し,1人はアトロピンで改善した.
- 3人の患者は異常なシヌスノード回復時間を示し,シヌス・アトリアルブロックまたはブラジカルディアが関連していました.
結論:
- ヒス・プルキンジェ系は,フォロ修正のテトラロジの後,一般的に影響を受けません.
- シナスノードと心房動脈節の機能不全は,小児患者のサブセットで,矯正後の発症することがあります.
- 電気生理学的評価は,微妙な伝導異常を特定するのに価値があります.
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