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慢传导旁道的临床特征及射频消融治疗
引用本文:许静 信庭文 孙姗 吴尚勤 付乃宽 李鹏 卢风民 王惠中 粱爽霖. 慢传导旁道的临床特征及射频消融治疗[J]. 中国心血管杂志, 1999, 4(2): 69-70
作者姓名:许静 信庭文 孙姗 吴尚勤 付乃宽 李鹏 卢风民 王惠中 粱爽霖
作者单位:天津市胸科医院心内科 天津300051(许静,信庭文,孙姗,吴尚勤,付乃宽,李鹏,卢风民,王惠中),天津市胸科医院心内科 天津300051(梁爽霖)
摘    要:目的 探讨慢传导旁道的临床、电生理检查特点及消融方法.方法 对5例心动过速时RP’>P’R的患者行电生理检查及射频消融治疗.结果5例患者电生理检查显示心室逆传文氏现象及递减传导,且消融靶点处VA不融合.取A波最早处做为消融靶点均获成功,随访2~13个月无复发.结论 慢传导旁道具有特殊的电生理特性,射频消融是有效的根治方法.

关 键 词:旁道  慢传导  导管消融

Clinical characteristics and catheter ablation of pathway with decremental conduction
Xu Jing,Xin Tingwen,Sun Shan,et at. Tianjin Chest Hospital. Tianjin. Clinical characteristics and catheter ablation of pathway with decremental conduction[J]. Chinese Journal of Cardiovascular Medicine, 1999, 4(2): 69-70
Authors:Xu Jing  Xin Tingwen  Sun Shan  et at. Tianjin Chest Hospital. Tianjin
Affiliation:Xu Jing,Xin Tingwen,Sun Shan,et at. Tianjin Chest Hospital. Tianjin 300051
Abstract:Objective The aim of the study was to explore the clinical characteristics and catheter ablation of pathway with decremental conduction. Method Electrophysiologic study and radiofrequency catheter ablation were performed in 5 patients with tachycardia with RP'>P'R. Results the electorcardiogram in all 5 patients show RP'>P' R during tachycardia. Retrogarde conduction in pathway exhibited decremental conduction. The long and separate VA time can be recorded at target site of pathway successful ablationed. The site of earlist A wave in tachycardia is just the target. Conclusion The slow conduction pathway have special electrophysiologic character. Radiofreqen-cy catheter ablation is an effective cure method.
Keywords:pathway  slow conduction  catheter ablation
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