在人类中,双循环心室内重新进入
1Department de Rhythmologie, Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.
Circulation
|February 15, 2000
概括
双循环心房回流性心力衰竭,以前未被描述,在心房隔膜缺陷手术后的患者中观察到. 切除一个循环改变了心动节拍,需要进行第二次切除才能完全解决.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏外科手术 心脏外科手术
背景情况:
- 双循环心房反入性心动脉动还没有临床描述.
- 研究了患有抗药性心房慢心病的患者,在心房隔膜缺陷关闭后.
研究的目的:
- 描述和表征双循环心房重入性心动脉动.
- 调查这些心跳动脉动症的电生理机制和切除策略.
主要方法:
- 在5名患者中使用多极导管和3维电解剖绘图 (Biosense).
- 执行了线性射频除,针对已识别的回流环的最窄部分.
主要成果:
- 绘制了6个数字-8双循环心动节拍,周期长度为262±40毫秒.
- 一个循环的切除 (cavotricuspid脉) 将心动减速转化为单循环心律失常,需要进行第二次切除.
- 在平均随访时间为19±6个月后,没有观察到复发.
结论:
- 图8 双循环心动节拍可以模仿手术后心房动的常见心房动.
- 一个循环的切除会导致新的心动节拍,需要在不同的地峡处进行第二次切除.
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