差分节奏,以区分阻塞与通过废弃线的持续导电,通过废弃线进行区分
D Shah1, M Haïssaguerre, A Takahashi
1Département de Rythmologie, Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.
Circulation
|September 27, 2000
概括
一种新的差分节奏技术准确地评估了射频废除后的洞穴椎间盘阻塞. 这种方法有助于确认完整的线性阻塞,这对于预防典型的心房的复发至关重要.
科学领域:
- 电子生理学 电子生理学
- 通过心脏切除术 (Cardiac Ablation) 进行心脏切除.
- 节律失常的管理管理
背景情况:
- 完整的线性导电阻对于防止像典型的心房一样的回入性心动脉障至关重要.
- 需要一种简单的技术来识别持久的差距或完整的线性块.
研究的目的:
- 调查一种新的差分节奏技术,用于在射频废除后评估洞穴脊峡导电性.
- 为了确定该技术在识别完整线性块的准确性.
主要方法:
- 对50名患者进行前性评估,这些患者正在接受空腔皮脉冲的射频切除术.
- 采用四极管导管进行差分节奏和记录沿着切除线.
- 将节奏响应与 Isthmus Block 的既定标准进行比较.
主要成果:
- 该技术显示了高灵敏度 (100%) 和负预测值 (100%) 的线性块.
- 终端组件的定时变化可靠地显示了区块 (缩短/不改变) 或持久导电 (延长).
- 最初的组件定时被推迟到后块,而终端组件定时根据导电状态而有所不同.
结论:
- 差分节奏提供了一种准确的方法来评估洞心脊柱峡阻塞.
- 这种技术可以可靠地区分完整块和持久导电间隙.
- 它有助于优化典型的心房管理的切除结果.
更多相关视频
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
08:05Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
Published on: June 29, 2022
相关概念视频
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers
Class IV antiarrhythmic drugs, such as verapamil and diltiazem, block calcium channels. They primarily affect the heart, slowing the conduction in calcium-dependent tissues like the SA and AV nodes. These drugs manage reentrant supraventricular tachycardia (SVT) and reduce ventricular rate in atrial flutter/fibrillation.
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
Disturbances in Heart Rhythm
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Dysrhythmias VI: Management of Dysrhythmias
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
