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Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
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对于儿科患者的心脏神经衰变,功能性鼻结功能障碍和心脏静脉关节阻塞
Nak Hyun Choi1,2, Jeff Hong1, Jeffrey P Moak1
1Division of Cardiology, Children's National Hospital, Washington, District of Columbia, USA.
Journal of cardiovascular electrophysiology
|December 1, 2023
概括
心脏神经衰变 (CNA) 有效地治疗患有鼻暂停 (SP) 或心房阻塞 (AVB) 的儿科患者,解决昏迷. 这种以导管为基础的干预为这些疾病提供了节律起器的替代方案.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电力生理学 电力生理学
- 干预心脏病学 干预心脏病学
背景情况:
- 儿科胸和昏睡是常见的,通常是良性的.
- 很少情况下,长时间的鼻暂停 (SP) 或心阻塞 (AVB) 会引起显著的症状.
- 心脏神经移除 (CNA) 通过状移除来准自主输入到心脏.
研究的目的:
- 描述儿童SP或AVB的CNA的方法.
- 评估CNA在治疗儿童和青少年这些疾病中的作用.
主要方法:
- 儿科患者 (≤21岁) 接受CNA (2015-2021) 的单中心病例系列.
- CNA使用了解剖学指导和高频刺激技术.
- 包括有功能性SP或AVB的患者,有些人以前有过昏迷.
主要成果:
- 包括6名患者 (平均年龄为18.9岁) 患有SP,AVB或两者.
- 在CNA前,中位数最长的暂停时间是8.9秒;在CNA后,中位数最长的暂停时间是3个月后的1.3秒和6个月后的1.1秒.
- 在CNA后没有发生昏迷,记录的暂停显著减少.
结论:
- 由于功能性SP或AVB,CNA是一种潜在的有效治疗儿科昏迷的方法.
- 它可以作为植入心脏起器的替代方案.
- CNA成功地破坏了导致这些心律失常的阴道介导输入.
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