相关实验视频
概括
患有沃尔夫 - 帕金森 - 怀特综合征和辅助心房通路的患者仅进行前期升级,年龄较大,通常在晚年出现心房动. 它们的路径特性与双向路径相似.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏电生理学 心脏电生理学
背景情况:
- 附属心室道是沃尔夫-帕金森-怀特综合征的一个标志.
- 这些通路可以表现出前级,后级或双向导.
- 排他性的度前导电代表了一个不常见的变体.
研究的目的:
- 描述患有辅助通路的患者,仅表现出前级传导.
- 将这些患者与具有双向辅助通路的患者进行比较.
- 分析临床表现和电生理学特征.
主要方法:
- 对143名单一辅助途径患者的回顾性分析.
- 分类为独家前级 (n=7),双向 (n=111) 和独家逆行 (n=25) 导电组.
- 人口,临床和电生理学数据的比较.
主要成果:
- 患有排他性前级导电的患者比双向导电组 (31.4岁) 显著年长 (42岁).
- 在排他性的前级和双向组中,前级的折射性和导电性质相似.
- 排他性前期组主要呈现心房动 (6/7),而双向组显示各种心律失常.
结论:
- 在沃尔夫-帕金森-怀特综合征中,具有排他性的前级导电的辅助通路很少见.
- 这些患者往往保持无症状,直到随着年龄的增长而发展为心房动.
- 逆行传导的功能性质与双向通道相比,尽管缺乏逆行传导.
相关概念视频
The Cardiac Cycle
96.3K
The heart beats rhythmically in a sequence called the cardiac cycle—a rapid coordination of contraction (systole) and relaxation (diastole).
The Process
Electrical signals—sent from the sinoatrial (SA) node in the right atrial wall to the atrioventricular (AV) node between the right atrium and right ventricle—cause both atria to simultaneously contract. When the signal reaches the AV node, it pauses for approximately a tenth of a second, allowing the atria to contract and...
The Process
Electrical signals—sent from the sinoatrial (SA) node in the right atrial wall to the atrioventricular (AV) node between the right atrium and right ventricle—cause both atria to simultaneously contract. When the signal reaches the AV node, it pauses for approximately a tenth of a second, allowing the atria to contract and...
96.3K
Dysrhythmias IV: Characteristics of Bradyarrhythmias
370
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
370
Conduction System of the Heart
12.1K
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...
12.1K
Chambers of the Heart
9.4K
The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Deoxygenated blood from the body is received in the right...
9.4K
Conduction System of the Heart
2.9K
The cardiac conduction system produces and transmits electrical impulses that prompt myocardial contraction, ensuring efficient heart function. This intricate system ensures that the heart beats in a coordinated and efficient manner, beginning with the atria and then the ventricles. The conduction system optimizes cardiac output by maintaining this precise sequence, which is crucial for adequate blood circulation.
This system relies on the unique properties of nodal and Purkinje cells:...
This system relies on the unique properties of nodal and Purkinje cells:...
2.9K
Electrophysiology of Normal Cardiac Rhythm
8.4K
The normal cardiac rhythm is a synchronized electrical activity that facilitates the regular and coordinated contraction of the heart muscle. This process is essential for efficient blood circulation throughout the body. The fundamental elements involved in establishing and maintaining this rhythm include the unique electrical properties of cardiac muscle cells, the sinoatrial (SA) node's pacemaker function, the specialized conducting system, and the ionic mechanisms underlying each phase...
8.4K