激活和引进映射定义了三管环作为典型的心房的前面屏障
J M Kalman1, J E Olgin, L A Saxon
1Department of Medicine, University of California, San Francisco 94143-1354, USA.
Circulation
|August 1, 1996
概括
三管环在典型的心房电路中充当连续的前面屏障. 这一发现基于人类患者的引进映射,澄清了心房重返的解剖学.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏解剖学 心脏解剖学
背景情况:
- 解剖障碍对心房的重新进入电路至关重要.
- 尖端和欧斯塔基脊形成一个后面的屏障.
- 人们假设三管环作为前面屏障的作用.
研究的目的:
- 为了测试三环形成心房电路的连续前面屏障的假设.
- 为了研究三管环在人类心房的作用.
主要方法:
- 研究了13名患有典型心房的患者.
- 使用光环和映射导管在三管环和其他心房部位周围进行激活和引进映射.
- 在电路内使用引进标准定义的站点 (后步间隔 - 飞周期长度 ≤ 10 ms).
主要成果:
- 在三圆周围绘制的七个位置都在飞电路内.
- 激活发生在圆环周围的顺序,占整个飞周期的长度.
- 卵巢,冠状动脉鼻和右心房附属体都在电路之外.
结论:
- 三管环周的连续激活证实了它在飞电路中的作用.
- 三管环作为人类反时钟方向心房动的连续前面障碍.
- 训练映射标准验证了三管环的屏障功能.
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