左心房附属体活动伪装成肺静脉潜力
Dipen Shah1, Michel Haissaguerre, Pierre Jais
1Division of Cardiology, University Hospital, Geneva, Switzerland. Dipen.Shah@hcuge.ch
Circulation
|June 19, 2002
概括
远场左心房附属体 (LAA) 活动影响左肺静脉 (PV) 电图. 节奏有助于区分LAA和左心房 (LA) 信号,有助于对持久潜力的切除策略.
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:
- 肺静脉 (PV) 潜力通常在切除后仍然存在.
- 左心房附属体 (LAA) 活动可以污染PV电图.
研究的目的:
- 为了区分左侧光伏系统中未被消除的潜在的起源.
- 为了确定LAA和左心房 (LA) 活动在PV电图中的作用.
主要方法:
- 在鼻腔节律,冠状动脉鼻腔节奏和LAA节奏期间分析PV电图.
- PV和LAA血管造影以评估解剖近距离.
主要成果:
- 左上方PV中的低振幅潜力与后方LAA激活和接近相关.
- 左下方PV中较少明显的潜力与较低的LA激活相关,尽管距离LAA的距离较大.
结论:
- 远场LAA活动有助于左上方的光伏电图.
- 在左下PV中确定了较低的LA潜力.
- LAA和冠状动脉鼻节奏可以帮助区分这些静脉外潜力.
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