逆转节奏的心室和心房波浪的方向,揭示了辅助AV通路的斜轨道,并改善了导管切除的局部化
K Otomo1, M D Gonzalez, K J Beckman
1Cardiac Arrhythmia Research Institute, University of Oklahoma, Oklahoma City 73104, USA.
Circulation
|August 2, 2001
概括
逆转心波前线有助于识别斜侧辅助通路 (AP). 这种方法改善了AP潜力的局部化,以便有效地进行导管切除,简化了程序.
科学领域:
- 电子生理学 电子生理学
- 心脏解剖学 心脏解剖学
- 干预心脏病学 干预心脏病学
背景情况:
- 附加心房 (AV) 路径 (AP) 可以导致心律失常.
- 了解APs的空间定向对于成功切除至关重要.
研究的目的:
- 为了确定横向辅助心房通路 (AP) 穿过AV槽的频率.
- 评估反转波面方向是否可以识别斜AP.
主要方法:
- 研究了114名单一AP的患者.
- 从相反的侧面使用心室和心房节奏来逆转波面方向.
- 测量了局部心室内 (VA) 和局部心房内 (AV) 间隔.
- 映射了AP潜力,并评估了切除成功.
主要成果:
- 在91%的患者中,逆心室波面增加了局部VA,表明斜路径.
- 在73%的患者中,逆转心房波线增加了局部AV.
- 在使用这种映射技术的89%患者中确定了AP潜力.
- 导管切除在所有尝试的病例中都是成功的,对于已识别的AP潜力应用较少.
结论:
- 逆转节奏的波浪线有效地揭示了的辅助路径 (AP).
- 这种技术促进了AP潜在的局部化,改善了导管切除的结果.
- 这些发现支持一种新的方法来诊断和治疗AP介导的心律失常.
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