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通过动态功能基质映射识别的与痕相关的腹性心力衰竭的废除目标

Mohammad Gamal Elewa¹, Sherif Altoukhy², Haitham Abdelfattah Badran²

¹Cardiology Department, Ain Shams University Hospital, Faculty of Medicine, Ain Shams University, 5B - Swiss Project B, PO 11826, Nasr City, Cairo, Egypt. mdgamal92@gmail.com.

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology

|October 13, 2023

概括

对于与痕相关的腹腔动脉动脉 (VT) 移除,分泌物唤起潜力 (DEEP) 映射是可行的. 虽然结果与固定基质映射相似,但DEEP指导的切除显示了类似的VT复发率和死亡率.

科学领域:

心脏病学心脏病学
电力生理学电力生理学
医疗器械医疗器械

背景情况:

与痕相关的腹腔动脉冲动 (VT) 是一个重大的临床挑战.
动态功能基质映射可以改善除目标的识别.
沉积物唤起潜力 (DEEP) 映射是一种新的功能基板映射技术.

研究的目的:

为了比较DEEP引导的短期和长期疗效与固定基底导向的切除策略,用于痕相关的静脉瘤.
为了评估程序的成功,复发率和死亡率.
评估DEEP引导的静脉除的可行性和安全性.

主要方法:

一项随机试验,涉及40名接受痕相关静脉切除术的患者.
患者被分配到DEEP导向或固定基板导向的除.
DEEP组:在驱动列车后进行RV超刺激,以识别具有显著延迟去除的潜力.
非DEEP组:晚期潜能 (LPs) 的消去.
随访时间为12个月.

主要成果:

两组之间VT非诱导性没有显著差异 (80%的DEEP与85%的非DEEP).
在12个月后,类似的VT复发率 (65%在两组中).
可比较的全因死亡率 (20%的DEEP与25%的非DEEP).
在DEEP组的程序时间较长,但在统计学上并不显著.

结论:

DEEP辅助除是一种可行的策略,用于痕相关的静脉瘤.
通过DEEP引导的除证明了与固定基板映射相比的短期和长期结果.
由于映射方法的潜在不平衡,建议进行进一步的大规模随机试验.

关键词:

心肌病是一种心肌病.导管切除导管切除导管切除导管切除减数唤起了潜在的潜力基底映射的基底映射腹腔动脉短心症是什么意思?

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