慢径消融对房室结电生理的影响
杜雪平,杨国华,翟馨梅,赵丽,于丽天,邢磊
摘要(Abstract):
通过30例房室结折返性心动过速(AVNRT)的慢径消融,对比术前、术后的电生理检查,发现:慢径消融后房室结(AVN)正向1:1传导最短周期延长,而逆向1:1传导最短周期无明显变化;消融后快径有效不应期缩短,而房室可逆向传导的不应期无变化;消融后 A-V 间期无明显变化。本研究证实在房室结双径路中快径传导受慢性径路影响。射频消融改良房室结的作用结果;在于改变 AVN 不应期及其传导速度。通过慢径消融对房室结电生理特性的影响,慢径消融治疗室上速得到了进一步的肯定。
关键词(KeyWords): 心动过速;射频消融;电生理
基金项目(Foundation):
作者(Author): 杜雪平,杨国华,翟馨梅,赵丽,于丽天,邢磊
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