時計時計の方向と逆の方向の心房振動における心房間伝導の異なるパターン
J E Marine1, V J Korley, O Obioha-Ngwu
1Harvard-Thorndike Institute of Electrophysiology, Cardiovascular Division, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts, USA.
Circulation
|September 6, 2001
まとめ
逆時計方向 (CC) と時計方向 (C) の心房 (Afl) は,左心房活性化パターンが異なっている. 冠動脈シヌス (CS) の記録は違いを明らかにし,AFLの維持とECGの解釈に影響を与える多様な活性化経路を示唆しています.
科学分野:
- 電気生理学 電気生理学
- 心臓病学 心臓病学
- 心臓電気生理学 心臓電気生理学
背景:
- 動 (Afl) は,右動の活性化に基づいて,逆時計方向 (CC) または時計方向 (C) に分類される.
- Afl中の左心房活性化パターンは,冠動脈シナス (CS) の記録を使用して体系的に研究されていません.
研究 の 目的:
- CSの記録を用いて,CCとCの心房振動中の左心房活性化パターンを体系的に評価し,比較する.
主な方法:
- CCとC Aflの両方の9人の患者を対象とした電気生理学的研究.
- 冠動脈シヌス (CS) の記録は,フラッタータイプとシヌスリズムの両方においてデカポラカテーテルを使用します.
- CSアクティベーションパターンの分類は,連続した近接から遠隔,連続した遠隔から近接,および融合.
主要な成果:
- CC Afl (近距離から遠距離) とC Afl (融合) の9人中7人の患者で明確なCS活性化パターンが観察されました.
- 2人の患者のシナプスリズム中にバッチマン・バンドルの近くでペースを踏むことは,C Afl.で見られた融合したCSアクティベーションパターンを複製しました.
結論:
- CCとC Aflにおける異なるCS活性化パターンは,明確な左心房活性化経路を示唆する.
- C Aflのアクティベーションには,Bachmannのバンドルが含まれている可能性が高いが,CC Aflのアクティベーションは,CS osを通じて発生する可能性がある.
- 発見は,AFLの維持,ECGの解釈,心房機能の理解に影響を与える可能性があります.
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