在正常犬类心脏中的间隙阻塞:终端峰的作用
1University of Heidelberg, Department of Cardiology, Heidelberg, Germany. ruediger_becker@med.uni-heidelberg.de
Circulation
|May 23, 2001
概括
诱导性间导电阻在健康的心脏中很常见. 终端的山顶 终端的山顶
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏解剖学 心脏解剖学
背景情况:
- 在典型的心房 flutter 期间间隙导电阻断表明先前存在的导电异常.
- 调查终端峰区域在导电阻中的作用至关重要.
研究的目的:
- 为了精确确定终端峰区域传导块的位置和电生理基础.
- 了解异性传导和耐火梯度在间隙块中的作用.
主要方法:
- 高密度贴片电极 (10x10双极) 用于猎的终端和肌肌.
- 当地激活模式和有效的耐火期在节奏和外刺激期间被映射出来.
- 在死后内心验证时,标记了心经块的位置.
主要成果:
- 在终端峰区域 (平行1.1+/-0.4米/秒,垂直于间隙轴的0.5+/-0.2米/秒) 观察到激活的明显的方向差异 (异向性).
- 在肌区域内,传导速度在两个方向上都是相似的.
- 在S(3) 刺激过程中,可在40%的狗中诱导与终端平行的导电阻.
结论:
- 即使在正常的心脏中,诱导性间阻塞也很常见.
- 不同类型的导电和耐火梯度不能完全解释终端的阻塞.
- 末端峰/pectinate 肌肉结合的解剖学和电生理学特性可能是间隙导电块的基础.
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