冠状动脉鼻腔与环动脉动脉瘤进行交流的心房短心
Mitsuaki Itoh1, Akira Shimane1, Tomofumi Takaya1
1Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
JACC. Case reports
|April 11, 2024
概括
冠状动脉,一种罕见的疾病,可以导致源自冠状动脉鼻 (CS) 的局部性心房低心率 (AT). 射频导管切除成功治疗了一名患有左环动脉动脉瘤和CS的患者的AT.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 冠状动脉 (CAF) 是一种罕见的先天性异常,冠状动脉与心室或其他血管的异常连接.
- 来自冠状动脉鼻 (CS) 的心房低心率 (AT) 是一种不常见的心律失常,特别是在CAFs的背景下.
- 与CS囊相关的左环动脉动脉瘤非常罕见.
研究的目的:
- 报告一种罕见的从冠状动脉鼻 (CS) 出发的局部复发性心房慢心病 (AT) 病例,该病例发生在患有左环动脉动脉瘤和CS瘤同时存在的患者身上.
- 描述使用射频导管切除的复杂病例的成功管理.
主要方法:
- 病例报告详细介绍了一名患有左环动脉动脉瘤和冠状动脉鼻.
- 利用电生理学研究来确定心房低心率的起源.
- 进行射频导管切除,准冠状动脉鼻腔内的心律失常基质.
主要成果:
- 鉴定出一种局部复发性心房低心率,起源于冠状动脉鼻腔.
- 射频导管切除成功终止了心律失常.
- 患者在切除后仍然没有心动减速症.
结论:
- 这一案例突出显示了冠状动脉囊,特别是左环动脉动脉瘤和冠状动脉鼻腔发病的心房动脉冲动之间罕见的联系.
- 射频导管切除是冠状动脉鼻腔中局部重新进入的AT的有效治疗方法,即使存在复杂的冠状动脉异常.
相关概念视频
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
213
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
213
Disturbances in Heart Rhythm
947
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
947
Coronary Circulation
2.6K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
2.6K
Physiology of the Heart: The Cardiac Cycle
2.6K
The cardiac cycle describes the events from one heartbeat to the next. It includes three main phases: diastole, atrial systole, and ventricular systole, all driven by changes in chamber pressures and the function of heart valves.
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
2.6K
Increased pulse rate
662
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
662
Conduction System of the Heart
6.5K
Autorhythmicity is a term that refers to the heart's inherent ability to generate electrical signals and instigate muscle contractions. This self-regulating conduction system within the heart consists of two key components: the pacemaker cells and specialized conducting cells.
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
6.5K


