一个单中心试验的电图流量映射和并发电压映射在鼻节律和心房动 (FLOW EVAL-AF)
Philipp Sommer1, Steven Castellano2, Kostiantyn Ahapov3
1Med. Fakultät OWL, Clinic for Electrophysiology, Herz- and Diabeteszentrum NRW, Ruhr University Bochum, University Bielefeld, Bad Oeynhausen, Germany.
概括
电图流的一致性 (EGFC) 在心房 (AF) 期间低于鼻节律 (SR),反映了混乱的电活动. EGFC与双极电压相关,表明其作为心房肌病症标志物的潜力.
科学领域:
- 电力生理学 电力生理学
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 电图流 (EGF) 地图绘制可可视化心房中的电波前线,有助于识别心房动 (AF) 的来源.
- 电图流的一致性 (EGFC) 量化波模式对应,提供对心房基板健康的见解.
研究的目的:
- 为了比较AF和鼻节律 (SR) 之间的EGF模式.
- 调查EGFC与心房区域双极电压之间的相关性.
主要方法:
- 一个前性,单中心研究,涉及10名AF患者.
- 在AF和SR期间使用专门的导管进行双极电压和EGF映射.
- EGFC计算为个别EGF载体的平均模量.
主要成果:
- 根据EGF绘制的地图,在AF期间确定了11个来源,其中8个转化为SR的被动水槽.
- 与SR (1.0 ± 0.11 AU) 相比,EGFC在AF (0.74 ± 0.14 AU) 期间明显较低.
- EGFC证明了与心律和心房的双极电压有很强的相关性 (r=0.647,P<0.0001).
结论:
- 在AF和SR之间,EGF模式不同,AF显示EGFC减少.
- EGFC与双极电压相关,表明其作为心房肌病症标志物的实用性.
- EGFC提供了关于心房基质健康的宝贵见解,可与高密度电压映射相提并论.
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