由于下环重新进入而导致的右心房动:机制和解剖基质
J Cheng1, W R Cabeen, M M Scheinman
1Section of Cardiac Electrophysiology, University of California San Francisco, CA, USA.
Circulation
|April 6, 1999
概括
一种新发现的心房 (AFL) 亚型,下环再入 (LLR),涉及右下心房,并依赖于三环-欧斯塔基脊脉. 这种快速的AFL在这个关键路径中通过切除成功终止.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 心脏节律失常症 心脏节律失常症
背景情况:
- 快速和不规则的心房 (AFL) 与典型的AFL不同的机制仍然不清楚.
- 了解这些机制对于有效的心律失常管理至关重要.
研究的目的:
- 为了研究明显的,快速的心房的机制.
- 为了确定这个AFL亚型的解剖基质和电生理学特性.
主要方法:
- 使用多电极导管在29名AFL患者的电生理学记录.
- 耳前外刺激传递到三管环 - 尤斯塔基脊脉.
- 线性切除,针对三管环 - 尤斯塔基脊脉.
主要成果:
- 确定了一种新的AFL亚型,下环再进入 (LLR),涉及右下心房.
- 在LLR中,周期长度比典型的AFL更短 (217±32毫秒对272±40毫秒).
- 双向阻塞在三环 - 欧斯塔基脊峡中终止了自发的LLR并阻止了诱导.
结论:
- 下环再进入 (LLR) 是右心房的独特亚型.
- 临界依赖LLR是通过三管环-欧斯塔基脊脉冲的导电.
- 通过切除来准这条峡谷是有效的管理LLR.
更多相关视频
10:18Generation and Characterization of Right Ventricular Myocardial Infarction Induced by Permanent Ligation of the Right Coronary Artery in Mice
Published on: February 1, 2022
08:42Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
相关概念视频
Chambers of the Heart
The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Deoxygenated blood from the body is received in the right...
Heart Valves
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Heart Failure II: Pathophysiology
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
