全球动态合激活和再极化在人类心室
Arthur M Yue1, Tim R Betts, Paul R Roberts
1Wessex Cardiac Center, Southampton General Hospital, Southampton SO16 6YD, UK.
Circulation
|October 26, 2005
概括
无接触映射可以评估心室再极化动态. 这项研究表明,激活和再极化之间存在反向合,有可能在健康的心室中保持电稳定.
科学领域:
- 心血管电生理学 心血管电生理学
- 绘制心脏图谱 绘制心脏图谱
- 腹腔动力学 腹腔动力学
背景情况:
- 了解心室再极化变化对于识别心律失常机制至关重要.
- 无接触映射为研究人类心室的全球激活-再极化合提供了一种潜在的方法.
研究的目的:
- 研究使用非接触映射分析人类心室全球激活-再极化合的可行性.
- 在各种电生理学条件下检查这种合,包括稳定状态和过早刺激.
主要方法:
- 在没有结构性心脏病的13名患者中,使用Ensite系统测量了每室32个部位的激活-恢复间隔 (ARI).
- 该方法与单相作用电位记录和单极接触电图进行了验证.
- 全球T波分布在3D心室模型上可视化.
主要成果:
- 在鼻节律,心室外和过早刺激 (r=0.72,P<0.001) 期间,激活时间和ARI之间发现了显著的反相关性.
- 在短合间隔的过早刺激改变了回归斜率,但保留了全球再极化模式.
- 恩赛特系统的ARI测量显示出显著的合,与怀亚特方法不同 (r=0.34).
结论:
- 全球,动态复极化绘制人类心室是可行的使用非接触式绘制.
- 在稳定状态和过早刺激期间,激活和再极化之间的反向合可能有助于维持正常心室的电稳定性.
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