在心房动期间心房节传导:心房输入修改的作用
S Garrigue1, K A Mowrey, G Fahy
1Department of Cardiology, the Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Circulation
|May 5, 1999
概括
对于心房动 (AF) 的宫切除并不能消除AV节点缓慢通路. 心室速度减慢是由于减少了AV节点轰炸,而不是缓慢的途径消除.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 心脏外科手术 心脏外科手术
背景情况:
- 胸前膜切除的目标是心房节点 (AVN),以控制心房动 (AF) 期间的心房率.
- 假定的机制涉及消除AVN缓慢路径.
- 无法预测的成功率表明,可能存在另一个替代机制.
研究的目的:
- 在模拟心房动期间,研究后脑切除对AVN缓慢通路的影响.
- 为了确定心室速率减缓是由于缓慢的途径消除或减少AV节点轰炸.
主要方法:
- 使用了子心脏心房-AVN制剂.
- 应用冷却到AVN方法来评估通路效应.
- 在术后切割前后模拟AF,监测His-His (H-H) 间隔和AV节点轰炸率.
主要成果:
- 后冷却显示出对AVN通路的非特异性影响.
- 在AF延长H-H间隔和减缓AV节点轰炸期间的Posteroseptal切割不会影响最小的H-H,表明一个完整的慢速通路.
- 之前的AF起源和切割并没有改变H-H间隔或轰炸率.
结论:
- 宫后切除并不能消除AVN缓慢通路.
- 通过减少AV节点轰炸,可能通过前后心室内心房阻塞,在后面心房切除后在AF期间减缓心室速率.
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