用多个内心录制进行研究的人类普通飞的诱导机制
F G Cosío1, M López Gil, F Arribas
1Cardiology Service, Hospital Universitario 12 de Octubre, Madrid, Spain.
Circulation
|May 1, 1994
概括
直接对人的研究表明,常见的心房电路很大,涉及右心房 (RA) 和下静脉-三峡 (IVC-TV). 节奏修改了这些电路,混乱是最常见的中断方法.
科学领域:
- 电力生理学 电力生理学
- 心脏节律失常症 心脏节律失常症
背景情况:
- 在人类中,常见的心房的引发机制尚不清楚.
- 之前的研究缺乏对飞电路动态的直接人类调查.
研究的目的:
- 直接调查人类常见心房的引入机制.
- 阐明节奏在修改心房电路中的作用.
主要方法:
- 在六个常见的飞病例中进行内心图谱.
- 在不同的周期长度 (CLs) 上,右上心室 (RA) 和下 vena cava-tricuspid峡 (IVC-TV) 的节奏.
- 从隔膜和前壁同时记录RA电图.
主要成果:
- 确定了大型的RA再进入电路,其中包括前侧RA和隔膜的激活序列,由IVC-TV关闭.
- 从节奏点进行过渡的引入,有反旋转电路透的证据.
- 观察到更短的步调CLs诱导导电延迟,导致后步调暂停和电路修改.
- 节奏导致飞失调变为不规则的节奏或心房动在某些情况下,突然的飞中断或电路逆转在其他情况下.
结论:
- 直接记录证实了在RA节拍过程中,飞电路的正向和反向透.
- 短的节奏周期长度显著改变心房的电路.
- 浮动中断通常通过电路混乱而发生.
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