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陈椿, 陈明龙, 单其俊, 邹建刚, 曹克将, 李文奇, 杨兵, 黄元铸. 慢旁道参与的室上性心动过速的电生理特点和导管射频消融治疗[J]. 实用临床医药杂志, 2002, (1): 11-14. DOI: 10.3969/j.issn.1672-2353.2002.01.004
引用本文: 陈椿, 陈明龙, 单其俊, 邹建刚, 曹克将, 李文奇, 杨兵, 黄元铸. 慢旁道参与的室上性心动过速的电生理特点和导管射频消融治疗[J]. 实用临床医药杂志, 2002, (1): 11-14. DOI: 10.3969/j.issn.1672-2353.2002.01.004
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THE ELECTROPHYSIOLOGIC CHARACTERISTICS OF TACHYCARDIA CAUSED BY SLOW ATRIOVENTRICULAR ACCESSORY PATHWAYS AND ITS MANAGEMENT WITH RADIOFREQUENCY CATHETER ABLATION[J]. Journal of Clinical Medicine in Practice, 2002, (1): 11-14. DOI: 10.3969/j.issn.1672-2353.2002.01.004
Citation: THE ELECTROPHYSIOLOGIC CHARACTERISTICS OF TACHYCARDIA CAUSED BY SLOW ATRIOVENTRICULAR ACCESSORY PATHWAYS AND ITS MANAGEMENT WITH RADIOFREQUENCY CATHETER ABLATION[J]. Journal of Clinical Medicine in Practice, 2002, (1): 11-14. DOI: 10.3969/j.issn.1672-2353.2002.01.004
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慢旁道参与的室上性心动过速的电生理特点和导管射频消融治疗

THE ELECTROPHYSIOLOGIC CHARACTERISTICS OF TACHYCARDIA CAUSED BY SLOW ATRIOVENTRICULAR ACCESSORY PATHWAYS AND ITS MANAGEMENT WITH RADIOFREQUENCY CATHETER ABLATION

    摘要
  • 摘要: 方法:对6例慢旁道参与的心动过速的电生理和导管射频消融(RFCA)治疗.结果:6例患者的室上性心动过速特点为窄形QRS波,RP间期＞PR间期.电生理特点为:右心室刺激时有与心动过速相同激动顺序的逆传性心房活动;心动过速的最短RP间期＞110ms;旁道的逆传具有递减性传导的性质;心动过速时与H波同步刺激心室可逆传到心房并使之提前激动并且激动顺序与心动过速时相同;6例患者中,旁道位于右后间隔4例、左后间隔1例、左后侧1例;RFCA可成功阻断所有6例患者的旁道,靶图的特点是VA提前而不融合.结论:RFCA治疗慢旁道参与的心动过速安全、有效.

     

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