通过单个外刺激,重新设置心室低心率. 在回流回路中与缓慢导电的关系
G N Kay1, A E Epstein, V J Plumb
1Department of Medicine, University of Alabama, Birmingham.
Circulation
|May 1, 1990
概括
这项研究揭示了心室低心率期间的正轨重置是暂时引入的关键指标,为重新进入电路机制提供了洞察力. 了解这些电生理反应有助于在心肌梗塞后控制心跳动脉.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏节律失常症 心脏节律失常症
背景情况:
- 众所周知,在心肌梗塞后的腹腔动脉冲动 (VT) 期间,外刺激的过渡性引入和重置是已知的.
- 这些现象与潜在的重新进入机制之间的关系仍然不完全定义.
研究的目的:
- 调查重置对过早外刺激的反应与在静脉静脉中暂时被引入的证明之间的相关性.
- 为了阐明节奏/记录电极位置相对于重新进入电路中的缓慢导电区的作用.
主要方法:
- 在16名患有21个VT形态后冠状动脉疾病的患者中进行电生理学研究.
- 在静脉动期间,从多个心室部位同时记录心内电图.
- 分析重置响应 (正方形与反方形) 和短暂的拖延.
主要成果:
- 在86%的VTs中,既显示了重置和短暂的拖累.
- 正方形重置与短暂的携带 (93%的地点) 有很强的相关性,表明近距离节奏和远距离记录相对于缓慢的导电.
- 抗体重置与短暂的引 (4%的地点) 的相关性很低.
结论:
- 正方形重置是一种可靠的标志物,用于证明静脉动脉中暂时的卷入,这表明在可刺激的间隙内进行节奏.
- 这一发现有助于定义重新进入电路的特征和缓慢导电区的作用.
- 了解这些电生理反应对于指导VT管理策略至关重要.
更多相关视频
相关概念视频
Electrophysiology of Normal Cardiac Rhythm
The normal cardiac rhythm is a synchronized electrical activity that facilitates the regular and coordinated contraction of the heart muscle. This process is essential for efficient blood circulation throughout the body. The fundamental elements involved in establishing and maintaining this rhythm include the unique electrical properties of cardiac muscle cells, the sinoatrial (SA) node's pacemaker function, the specialized conducting system, and the ionic mechanisms underlying each phase of...
Conduction System of the Heart
Autorhythmicity is a term that refers to the heart's inherent ability to generate electrical signals and instigate muscle contractions. This self-regulating conduction system within the heart consists of two key components: the pacemaker cells and specialized conducting cells.
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
Disturbances in Heart Rhythm
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Conduction System of the Heart
The cardiac conduction system produces and transmits electrical impulses that prompt myocardial contraction, ensuring efficient heart function. This intricate system ensures that the heart beats in a coordinated and efficient manner, beginning with the atria and then the ventricles. The conduction system optimizes cardiac output by maintaining this precise sequence, which is crucial for adequate blood circulation.
This system relies on the unique properties of nodal and Purkinje cells:...
This system relies on the unique properties of nodal and Purkinje cells:...
Dysrhythmias III: Characteristics of Dysrhythmias
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


