冠状动脉鼻腔 - 腹腔辅助连接产生后和左后辅助通路:发生率和电生理学识别
Yingxian Sun1, Mauricio Arruda, Kenichiro Otomo
1Cardiac Arrhythmia Research Institute and Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City 73104, USA.
胸前和左后侧辅助通路 (CSAP) 往往起源于冠状动脉鼻腔心肌层 (CSMC),延伸到心脏静脉. 大多数患有这些途径的患者在血管造影上有一个看起来正常的冠状动脉鼻.
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:
- 冠状动脉鼻腔 (CS) 拥有心肌层 (CSMC),连接到两个心房.
- 辅助通路 (AP) 可能来自CSMC沿心血管延伸到心室的延伸.
研究的目的:
- 通过CS血管学和映射来定义冠状动脉鼻辅助通路 (CSAPs).
- 确定CSAP的发生率及其与CS解剖学的关系.
主要方法:
- 通过辅助通路潜力或最早的激活在中心静脉 (MCV) 或后冠状动脉 (PCV) 中定义的CSAP.
- 在480名患者中利用CS血管学和电生理学映射进行了切除.
主要成果:
- 在480名患者中的171名患者中确定了CSAP.
- 在30%的患者中发现冠状动脉鼻分歧或扩大;70%的患者有正常的CS解剖学.
- 100%的CSMC扩展潜力记录在正常的CS解剖学患者中,发生在心房和辅助路径潜力之间.
结论:
- CSAP来自于CSMC延伸沿着MCV或PCV和心室之间的连接.
- 在大多数患有CSAP的患者中,冠状动脉鼻在血管图学上看起来正常.
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