用心房间间隔膜电极降低心房 défibrillation 值
X Zheng1, M E Benser, G P Walcott
1Division of Cardiovascular Diseases, Department of Medicine, University of Alabama at Birmingham, USA.
Circulation
|November 22, 2000
概括
将电极添加到心房隔膜可以显著降低心房除门 (ADFT) 的内心心房除. 与标准方法相比,这种改进的配置需要更少的能量来有效地进行心房除.
科学领域:
- 电子生理学 电子生理学
- 心血管研究研究心血管研究
- 医疗器械技术 医疗器械技术
背景情况:
- 标准的内心心房除使用右心房附属体 (RAA) 和冠状动脉鼻 (CS) 中的电极.
- 心房除门 (ADFT) 代表了成功除所需的最低能量.
研究的目的:
- 调查心房隔膜 (SP) 上的额外电极是否可以降低标准RAA-->CS配置的ADFT.
- 评估用于内部心房除的新型领先配置.
主要方法:
- 八只羊经历了诱导的心房动.
- 在RAA,CS,肺动脉 (PA),右下心房 (LRA) 和整个SP中放置了除电极.
- 用双相波形的多重逆转协议确定了各种形的心房除门 (ADFT).
主要成果:
- 在RAA-->CS配置的ADFT为1.27+/-0.67 J.
- 在RAA+CS-->SP配置中,ADFT降低了0.86+/-0.59 J.
- 连续冲击配置,特别是RAA-->SP/CS-->SP,显示出明显较低的ADFT (0.39+/-0.18 J).
结论:
- 在心房隔膜上的额外电极显著降低了标准RAA-->CS配置的ADFT.
- 结合心房隔膜的新型配置提供了改善的除功效.
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