选择性心房冠状动脉封闭对人类的电生理学影响
Jesús Álvarez-García1, Miquel Vives-Borrás2, Pedro Gomis2
1From Cardiology Department, Hospital de la Santa Creu i Sant Pau, IIB-SantPau, Universidad Autónoma de Barcelona, Spain (J.A.-G., M.V.-B., A.F.-G., A.S.-P., J.C.); Department ESAII, EUETIB, Universidad Politécnica de Cataluña, Barcelona, Spain (P.G.); and Biochemistry and Molecular Biology Department, Hospital de la Santa Creu i Sant Pau, IIB-SantPau, Universidad Autónoma de Barcelona, Spain (J.O.-L.). jalvarezg@santpau.cat.
Circulation
|May 7, 2016
概括
在冠状动脉形成过程中急性心房缺血会增加心肌损伤,并引发心房动脉障碍,如心房动. 这表明心房缺血可能导致冠状动脉疾病的患者心房动.
科学领域:
- 心脏病学
- 电生理学
- 缺血性心脏病
背景情况:
- 室内心肌缺血是很好的模型,但缺少人类心房缺血模型.
- 这项研究研究了冠状动脉形成过程中的急性心房缺血引起的电生理变化.
研究的目的:
- 描述急性心房缺血引起的电生理变化.
- 评估心房冠状动脉分支堵塞在血管造形术期间的影响.
主要方法:
- 对109名接受选择性冠状动脉血管整形手术的患者进行前性分析.
- 患者分为心房分支封闭 (ABO) 和非ABO组.
- 数据包括心电图,霍尔特监测,冠状动脉动图和心脏生物标志物.
主要成果:
- 在ABO组中,心肌梗塞的发生率较高 (53%与20%相比).
- 在ABO组中,心房内导电延迟 (46% vs 19%) 和心房失常 (41% 心拍,12% 心) 较为频繁.
- 预测心脏病发作和心脏不律的前庭分支封闭.
结论:
- 选择性心房冠状动脉封闭导致缺血损伤和心律失常.
- 在冠状动脉疾病患者中,心房缺血发作可能导致心房动.
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