参考电极对心内电图的影响:接近无关电极与威尔逊中心终端对比
Tasuku Yamamoto1, Masateru Takigawa2, Takatoshi Shigeta1
1Department of Cardiovascular Medicine, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
一个新的近冷漠电极 (CIE) 参考提高单极电图 (uni-EGM) 在心内手术的映射精度. 与传统的威尔逊中央终端 (WCT) 引用相比,基于CIE的地图显示了更清晰的焦点激活来源.
科学领域:
- 电子生理学 电子生理学
- 绘制心脏地图是指绘制心脏地图.
- 医疗器械技术 医疗器械技术
背景情况:
- 单极电图 (uni-EGM) 对于心内映射至关重要.
- 传统的威尔逊中央终端 (WCT) 参考信号面临着远场和非生理信号污染的挑战.
研究的目的:
- 评估CIE作为心内参考,取代WCT,对电图质量和映射精度的影响.
主要方法:
- 在接受导管切除的患者中,使用嵌入式CIE的多电极阵列记录了Uni-EGM和双极EGM.
- 激活地图是依次生成的,使用CIE和WCT作为参考来进行比较.
主要成果:
- 与WCT相比,CIE的Uni-EGM电压显著更大 (2.36mV对1.96mV).
- 基于CIE的地图显示,最早激活区域显著较小 (0.3厘米2比0.6厘米2),表明本地化得到了改进.
- 在CIE中观察到更高的单极电压和最大负dV/dT.
结论:
- 基于近冷漠电极 (CIE) 的映射提供了约20%的单极电压增加.
- 与WCT相比,CIE引用可以提供更清晰的焦点激活来源可视化.
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