左心室顶部心室节律失常的全面审查
Farzad Kamali1,2, Majid Haghjoo1,2, Yeganeh Pasebani1,2
1Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
The journal of Tehran Heart Center
|May 30, 2023
概括
导管切除有效地治疗异常心室心律失常症. 本综述重点关注来自左心室顶部 (LVS) 的挑战性心律失常,详细介绍解剖学,映射和切除技术,以改善患者的治疗结果.
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:
- 导管切除是一种第一线治疗异常心室节律失常的方法,成功率为90%.
- 来自左心室顶部 (LVS) 的心室节律失常,由于复杂的解剖学和接近主要冠状动脉,具有独特的挑战.
研究的目的:
- 审查左心室顶部 (LVS) 和周围结构的解剖学.
- 讨论对LVS心室节律失常的新型测绘和切除技术.
- 详细阐述心电图 (ECG) 表现和 LVS 失律症的废除策略.
主要方法:
- 审查与LVS相关的解剖学研究.
- 讨论当代的映射和导管切除技术.
- 分析LVS心律失常的心电图案.
主要成果:
- LVS是一个关键区域,约占左心室心律不整的14%.
- 复杂的解剖学,厚厚的心上脂肪和接近冠状动脉使LVS切除变得困难.
- 新的方法,包括直接和相邻的结构剥离,显示成功消除的希望.
结论:
- 了解LVS解剖学对于成功切除至关重要.
- 先进的映射和切除技术对于管理LVS心室节律失常是必不可少的.
- 通过直接或相邻的方法可以实现有效的废弃策略.
相关概念视频
Dysrhythmias V: Evaluating Dysrhythmias
42
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
42
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
54
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...
54
Dysrhythmias I: Introduction
21
Dysrhythmias refers to abnormalities in the heart's rhythm. They result from disruptions in the heart's electrical conduction system, which includes the sinoatrial(SA)node, atrioventricular(AV) node, the bundle of His, bundle branches, and Purkinje fibers.Definition and PathophysiologyDysrhythmias result from disorders of impulse formation, impulse conduction, or both. The heart contains specialized cells in the sinoatrial node, atrioventricular node, and the bundle of His and Purkinje fibers...
21
Mechanism of Cardiac Arrhythmias
972
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
972
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
266
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
266
Dysrhythmias II: Classification of Tachyarrhythmias
13
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
13


