肺静脈ポテンシャルに偽装した左心房付属体の活動.
Dipen Shah1, Michel Haissaguerre, Pierre Jais
1Division of Cardiology, University Hospital, Geneva, Switzerland. Dipen.Shah@hcuge.ch
Circulation
|June 19, 2002
まとめ
遠場左心房付属体 (LAA) の活動への影響 左肺静脈 (PV) の電図. ペーシングは,LAAと左心房 (LA) 信号を区別するのに役立ち,持続的な潜在力のアブレーション戦略を助けます.
科学分野:
- 電気生理学 電気生理学
- 心臓の解剖学 心臓の解剖学
- 介入性心臓病学 介入性心臓病学
背景:
- 肺静脈 (PV) の潜在性は,アブレーション後にしばしば持続する.
- 左心房付属体 (LAA) の活動により,PV電図が汚染される可能性があります.
研究 の 目的:
- 左のPVで排除されていないポテンシャルの起源を区分する.
- PV電図におけるLAAと左心房 (LA) 活動の役割を特定する.
主な方法:
- 副鼻腔リズム,冠動脈副鼻腔ペース,LAAペースにおけるPV電図の分析.
- PVとLAAアニオグラフィーは,解剖学的近接性を評価する.
主要な成果:
- 左上方PVの低振幅ポテンシャルは,後方LAAの活性化と近さと相関しています.
- 左下PVの潜在力がはっきりしないのは,LAAからの距離が大きいにもかかわらず,LAAの活性化が低いことと相関していた.
結論:
- 遠場LAA活動は,左上のPV電図に寄与する.
- 下部LAポテンシャルは左下部PVで特定される.
- LAAと冠動脈シヌスペースは,これらの静脈外ポテンシャルを区別するのに役立ちます.
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