在患有左束支部阻塞的患者中,可能存在的缩性带潜力,这些患者正在接受左束支部区域节奏:一个病例系列
Giovanni Coluccia1, Michele Accogli1, Antonio Parlavecchio1,2
1Cardiology Unit, "Card. G. Panico" Hospital, Tricase, Italy.
Journal of cardiovascular electrophysiology
|September 15, 2023
概括
左束支部区域节奏 (LBBAP) 中的新信号可以帮助识别左束支部阻塞 (LBBB) 患者的深度. 这些高频低振幅信号证实了正确的位,帮助操作人员并防止左心室穿孔.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 心脏节拍是因为心脏节拍.
背景情况:
- 左捆分支区域节奏 (LBBAP) 需要准确的领先深度评估.
- 普尔金耶潜力表明心下内分泌器的范围,但在左束分支块 (LBBB) 中,带潜力很少见.
研究的目的:
- 在LBBB.患者的LBBAP期间识别新的电生理信号.
- 确定这些信号是否可以帮助确认左捆分支区域内的位.
主要方法:
- 在21名患有LBBB的患者中尝试了LBBAP.
- 单极心室电图 (VEGM) 分析了自发节奏和节奏期间的特定信号.
- 在18名患者中取得了成功的LBBAP.
主要成果:
- 在成功的LBBAP病例中,在自发节奏期间,在VEGM的末端部分始终观察到离散的高频低振幅信号.
- 这些信号发生在QRS持续时间的58%到80%之间,并在节奏时消失.
- 假设这些信号代表左心室导电系统 (CS) 纤维激活.
结论:
- 在VEGM中识别这些独特的信号可以帮助运营商确认他们已经到达左捆分支区域.
- 这一发现可以作为一种额外的工具,以防止LBBB患者在LBBAP期间的左心室穿孔.
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