在辅助路径中连接. 前级预激发的功能性损失
M D Gonzalez1, A J Greenspon, G A Kidwell
1Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA.
Circulation
|April 1, 1991
概括
在沃尔夫-帕金森-怀特综合征中,隐藏的逆行激活或链接涉及辅助通路的双向阻塞. 这种现象取决于折射性和逆行激活延迟,并且可以被心室外刺激中断.
科学领域:
- 电子生理学 电子生理学
- 心脏病学 心脏病学
背景情况:
- 隐藏的逆行激活是前级传导阻断的一个拟议机制.
- 这项研究研究了10名患有沃尔夫-帕金森-怀特综合征的患者之间的联系.
研究的目的:
- 为了测试隐藏的逆行激活导致前级导电阻塞的假设.
- 定义辅助路径连接的条件和特征.
主要方法:
- 患有沃尔夫 - 帕金森 - 怀特综合征的患者接受过度动力心房节奏,以诱导持久的前级阻塞.
- 一个心房节拍协议定义了一个循环长度的"链接窗口".
- 过早的心室外刺激被用来中断连接.
主要成果:
- 确定了一个连接窗口 (70-290毫秒),其中辅助路径传导取决于前一个状态.
- 链接窗口近似的逆行激活延迟.
- 预先升级的辅助通路的折射性超过了心房道的折射性,并且可以被心室外刺激中断.
结论:
- 辅助路径连接与双向封锁有关.
- 连接的启动和稳定性取决于前级折射率和逆行激活延迟之间的关系.
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