在心房动患者中,心房外增强了低压分离电图
Mathijs S van Schie1, Rongheng Liao1, Nawin L Ramdat Misier1
1Department of Cardiology, Erasmus Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, the Netherlands.
概括
耳前外 (AES) 改变了电生理学特性,降低了电压,增加了低电压区域. 这些变化取决于方向,而不是取决于速度,在心房动 (AF) 患者中更为明显.
科学领域:
- 电子生理学 电子生理学
- 心脏电生理学心脏电生理学
- 耳前电生理学 耳前电生理学
背景情况:
- 众所周知,心房外 (AES) 会引起导电障碍.
- AES可能会引发心房动 (AF) 的发作.
- 在AES期间,电生理组织特性对心表单极电图 (EGM) 形态的方向和速率依赖性尚不清楚.
研究的目的:
- 检查自发AES对心表单极电图 (EGM) 形态学的影响.
- 为了将这些形态变化与AES的早产和异常相关联.
- 研究这些电生理变化的方向和速率的依赖性.
主要方法:
- 在287名患者中,在鼻节律 (SR) 期间,进行了手术内高分辨率心上图谱绘制.
- 根据早产指数和异常程度对AES进行了分类.
- 分析了电图参数,包括潜在的振幅,分数,持续时间和低压区域 (LVAs),并将SR和AES进行比较.
主要成果:
- 自发AES导致所有心房区域的平均电压下降和增加LVAs和分离.
- EGM形态参数与早产指数之间的相关性较弱至中度.
- 观察到最严重的电生理学变化是轻度/相反或严重异常AES,特别是在AF患者.
结论:
- 自发AES期间单极EGM特征主要取决于方向,而不是取决于速率.
- AF患者表现出更多的方向依赖导电障碍.
- 自发AES可以在AF患者中发现增强的非均异性异性.
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