在依赖静脉的心脏动中双心脏激活
L M Rodriguez1, C Timmermans, A Nabar
1Department of Cardiology, Academic Hospital Maastricht, Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands. LM.Rodriguez@cardio.azm.nl
Circulation
|November 21, 2001
概括
在依赖静脉的心房动 (AFL) 中,电路局限于右心房. 左心房 (LA) 被动地被激活,作为一个旁观者对的波.
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:
- 缺口依赖性心房 (AFL) 是一种常见的心律失常.
- 了解心房间际连接和左心房 (LA) 激活对于AFL管理至关重要.
研究的目的:
- 为了确定依赖于峡脉的AFL的双心激活模式.
- 阐明功能性心房间间际连接和LA激活模式.
主要方法:
- 电解剖学映射系统用于对10名因AFL而接受右心房静脉切除术的患者的双心脏激活.
- 对逆时钟方向 (n=7) 和顺时钟方向 (n=3) AFL电路的分析.
主要成果:
- AFL电路是腹膜状的,通过地峡传播缓慢 (0.5+/-0.2 m/s).
- 左心房 (LA) 被两个波线激活,心房隔膜突破,重叠50+/-16%的AFL周期.
- 在逆时针方向的AFL中,LA激活是下至上的,与隔膜激活同步,并由飞波从地峡出口启动.
结论:
- 取决于地峡的AFL的电路完全位于右心室内.
- 左心房 (LA) 激活是一种旁观者现象.
- LA激活通过通过下冠状动脉鼻-LA连接,巴克曼捆,和/或卵巢的跨septal传导发生.
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