在冠状动脉血管学和冠状动脉内乙胆管理期间的J波动性
Yoshiyasu Aizawa1, Narutaka Ohashi1, Akio Kawamura1
1Department of Cardiology, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Pacing and clinical electrophysiology : PACE
|July 18, 2023
概括
在冠状动脉血管学和乙胆管理期间观察到的J波可能表明心肌缺血. 这些J波变化,可能是由于导电延迟造成的,需要进一步研究血管性心痛.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在冠状动脉血管学 (CAG) 和冠状动脉乙胆 (ACh) 给药期间,有时会观察到J波.
- 这些J波的临床意义在很大程度上是未知的.
研究的目的:
- 调查CAG和ACH管理期间J波的意义和动态行为.
- 为了比较CAG诱导的J波变化与疑似血管痛患者的ACH.
主要方法:
- 研究了49名患者 (59.1±11.5岁,59%是男性) 怀疑患有血管性心痛.
- 在CAG和冠状动脉内ACH给药期间比较J波动力.
- 分析了J波振幅变化及其与冠状动脉干预和RR间隔的相关性.
主要成果:
- 在CAG和ACH给药期间,J波在11名患者中被增强或新观察到.
- 在两次手术中,J波幅的类似增加也被发现 (p < .002对于CAG,p < .001对于ACh).
- J波变化主要发生在较低的导线上,与右冠状动脉干预有关,有时与缩短的RR间隔有关.
结论:
- 无论是CAG还是冠心内ACH,都会对个体的J波产生类似的影响.
- 心肌缺血引起的导电延迟是J波变化的潜在机制.
- 需要进一步的研究,以充分阐明J波在心脏病中的作用.
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