在与痕相关的腹腔动脉短心症的基质测绘期间最佳心律:波浪正面方向在识别关键位点上的重要性
Yasutoshi Shinoda1, Yuki Komatsu1, Masayuki Hattori1
1Department of Cardiology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Heart rhythm
|March 3, 2024
概括
在基质映射中识别旋转激活模式 (RAP) 的最佳心律取决于痕位置. 在痕附近步行可以帮助确定关键心室动脉冲动 (VT) 区域.
科学领域:
- 电力生理学 电力生理学
- 绘制心脏地图是指绘制心脏地图.
- 腹腔动脉高心率 (Ventricular Tachycardia) 是一个常见的情况.
背景情况:
- 导电块附近的旋转激活模式 (RAP) 与临界心室动脉障 (VT) 区域相关.
- 在基质映射期间的波面方向影响RAP和块线表现.
研究的目的:
- 为了确定最佳的心律,用于识别RAP和块线在基质映射.
主要方法:
- 追溯分析71个高密度基质图,来自46名接受静脉管切除的患者.
- 在鼻腔,RV节奏,LV节奏和双心室节奏节奏期间评估RAP外观.
主要成果:
- 在34%的地图中发现了RAP,有利于带有单向波浪的区域.
- 根据痕位置和节奏节奏 (阴道/心房,RV节奏,LV节奏) 的不同,RAP识别概率有所不同.
- 在不同节奏的重绘过程中,RAP在13名患者中变得明显.
结论:
- 最佳的基质映射节奏是由目标区域的空间分布决定的.
- 从痕附近的部位开始步行可以提高关键VT区域的识别.
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