在人类电感动心房动期间单极心房电图的配置
K T Konings1, J L Smeets, O C Penn
1Department of Physiology, Cardiology and Cardiopulmonary Surgery, Cardiovascular Research Institute Maastricht, Maastricht University, The Netherlands.
Circulation
|March 4, 1997
概括
前庭动 (AF) 电图图案揭示了潜在的激活模式. 这种分析有助于区分AF类型并识别传导干扰.
科学领域:
- 心脏电生理学 心脏电生理学
- 前庭的研究研究.
- 心脏病学中的信号分析
背景情况:
- 心房动 (AF) 涉及复杂的,动态的心房激活多个小波.
- 了解电图配置和空间激活之间的关系至关重要.
研究的目的:
- 为了将AF电图形态的时间变化与空间激活模式相关联.
- 调查电图图案在特征AF的诊断价值.
主要方法:
- 在25名沃尔夫 - 帕金森 - 怀特患者的右心房自由壁的映射.
- 单极电图的分类为四类:单极电位,短双极电位,长双极电位和碎片电位.
- 分析电图比例及其与导电模式的相关性.
主要成果:
- 电图形态表明快速均导电 (单个电位,PPV 0.96),碰撞 (短双,PPV 0.33),导电阻 (长双,PPV 0.84),和缓慢导电 (碎片化,PPV 0.87).
- 长双和碎片潜力的比例随着AF类型 (I,II,III) 的增加.
- 在右心房中没有发现双重或碎片潜力的特定解剖部位.
结论:
- 在AF期间的单单极电图形态反映了特定的导电模式.
- 电图分析可以区分AF类型,并确定结构导电干扰延续慢性AF的区域.
相关概念视频
Electrophysiology of Normal Cardiac Rhythm
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 of...
Disturbances in Heart Rhythm
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 heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Electrocardiogram Fundamentals
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
Dysrhythmias III: Characteristics of Dysrhythmias
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
Dysrhythmias IV: Characteristics of Bradyarrhythmias
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...
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


