在顺时针和反时针的心房动中,心房间间际导电的不同模式
J E Marine1, V J Korley, O Obioha-Ngwu
1Harvard-Thorndike Institute of Electrophysiology, Cardiovascular Division, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts, USA.
Circulation
|September 6, 2001
概括
反时钟方向 (CC) 和时钟方向 (C) 的心房 (Afl) 显示出不同的左心房激活模式. 冠状动脉鼻 (CS) 记录显示了差异,表明影响Afl维护和ECG解释的多种激活途径.
科学领域:
- 电子生理学 电子生理学
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 在右心房激活的基础上,心房 (Afl) 被分类为反时钟方向 (CC) 或时钟方向 (C).
- 在Afl期间左心房激活模式尚未通过冠状动脉鼻 (CS) 记录系统地研究.
研究的目的:
- 使用CS记录系统地评估和比较CC和C心房动期间的左心房激活模式.
主要方法:
- 在九名患有CC和C Afl. 的患者中进行电生理学研究.
- 冠状动脉鼻 (CS) 记录使用十极管导管在的类型和鼻节奏.
- 将CS激活模式分类为顺序近距离到远距离,顺序远距离到近距离和融合.
主要成果:
- 在9名患者中有7名在CC Afl (近端至远端) 和C Afl (融合) 之间观察到明显的CS激活模式.
- 在两个患者的鼻节奏期间,在巴克曼捆附近步行复制了在C Afl.中看到的融合CS激活模式.
结论:
- 在CC和C Afl中不同的CS激活模式表明了不同的左心房激活途径.
- C Afl的激活可能涉及巴克曼的捆绑,而CC Afl的激活可能通过CS os.
- 这些发现可能会影响对AFL维护,心电图解释和心房功能的理解.
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