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前庭的电力改造与阳和慢性心房有关
P B Sparks1, S Jayaprakash, J K Vohra
1Royal Melbourne Hospital Department of Cardiology and the University of Melbourne, Department of Medicine, Melbourne, Australia.
Circulation
|October 12, 2000
概括
阳性心房 (AFL) 和慢性心房都会诱导心房的可逆电力重塑. 然而,在这两个条件之间,恢复模式是不同的.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 耳前心律失常症 耳前心律失常症
背景情况:
- 前庭电力改造与前庭心律失常的发展和持续有关.
- 偏激性心房 (AFL) 和慢性心房对心房电力改造的具体影响尚不清楚.
研究的目的:
- 为了研究患有偏发性AFL和慢性AFL的患者中心房电力改造的存在和特征.
- 为了比较停滞性和慢性AFL结束后电力改造恢复的时间进程.
主要方法:
- 评估有效的耐火期 (ERP) 和纠正的鼻节恢复时间 (cSNRTs) 在诱导之前和之后患有性AFL的患者,以及在切除后和在切除后的不同时间点患有慢性AFL的患者中.
- 测量是在自主封锁下进行的,以隔离电气性能.
主要成果:
- 在侧向右心房 (LRA) 的ERP中引起的过渡性下降,大约在5分钟内恢复.
- 慢性AFL导致显著延长ERP和减少cSNRTs在3周后废弃与较早的时间点相比.
- 在AFL期间或当折射率最低时,一些患者发生了心房动.
结论:
- 阳性和慢性AFL都会导致心房的可逆电力改造.
- 这种重塑的恢复动态在 Paroxysmal 和慢性 AFL 之间存在显著差异,慢性 AFL 显示出更持久的影响.
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