使用晚期心房过早脱极化的上常见通路分析在心房节点心房回入高心率中
Soyoon Park1, Jeong-Wook Park2, Soohyun Kim1
1Division of Cardiology, Department of Internal Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; Cardiovascular Research Institute for Intractable Disease, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
晚期心房过早脱极化机动表明,在心房节点回流性心力衰竭 (AVNRT) 中,上常见途径很少存在. 在大多数AVNRT病例中,心房参与了重新进入电路.
科学领域:
- 电子生理学 电子生理学
- 心脏病学 心脏病学
- 心脏节律失常症 心脏节律失常症
背景情况:
- 解剖学和电生理学发现表明,AVNRT涉及周节前庭.
- 上部常见通路 (UCP) 的概念源于罕见的心房与AVNRT分离的罕见情况.
研究的目的:
- 评估AVNRT中UCP的流行率.
- 使用晚期心房过早脱极化 (LAPD) 机动进行UCP评估.
主要方法:
- 126名典型的AVNRT患者接受了电生理学研究.
- 在AVNRT期间,在冠状动脉鼻骨上进行了LAPD机动.
- 最早的逆行性心房激活部位 (ERAS) 被映射出来,以根据重置标准来确定UCP的存在.
主要成果:
- 在121名 (96.0%) 患者中,没有UCP.
- 在3名 (2.4%) 患者中存在UCP.
- 在2名 (1.6%) 患者中,结果未确定.
结论:
- 洛杉矶警察局的操作表明UCP在AVNRT中很罕见.
- 在大多数AVNRT病例中,心房参与了重新进入电路.
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