| 射频消融术治疗室上性心动过速80例体会 |
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| 引用本文： | 黄德嘉,姜建,文山,曾智,章茂顺,初宁,尹秋熙.射频消融术治疗室上性心动过速80例体会[J].中国介入心脏病学杂志,1993(2). |
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| 作者姓名： | 黄德嘉 姜建 文山 曾智 章茂顺 初宁 尹秋熙 |
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| 作者单位： | 华西医科大学第一附属医院心内科 610041
(黄德嘉，姜建，文山，曾智，章茂顺，初宁)，华西医科大学第一附属医院心内科 610041(尹秋熙) |
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| 摘 要： | 用射频消融术治疗室上性心动过速80例.其中,房室折返性心动过速64例(65条旁路),56条左侧旁路中52条(92.9%)和9条右侧旁路中7条(77.8%)被阻断.14例房室结折返性心动过速(消融慢径)及2例房性心动过速和心房纤颤(消融房室结)均成功.比较初期30例和以后34例房室旁路病人的消融,显示了射频消融术开展过程中的学习曲线.此外,本文对预激综合征体表心电图旁路定位误差的原因,作了初步探讨.
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| 关 键 词： | 室上性心动过速 射频消融术 学习曲线 |
Radiofrequency Catheter Ablation for Treatment of Eighty Patients with Supraventricular Tachycardia; Initial Experience |
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| Huang Dejia,Jiang Jian,Wen Shan,et al..Radiofrequency Catheter Ablation for Treatment of Eighty Patients with Supraventricular Tachycardia; Initial Experience[J].Chinese Journal of Interventional Cardiology,1993(2). |
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| Authors: | Huang Dejia Jiang Jian Wen Shan |
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| Institution: | Huang Dejia,Jiang Jian,Wen Shan,et al. Divi-sion of Cardiology,Lept. of Medicine,First University Hospi-tal,West China University of Medical Sciences,Chengdu,610041. |
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| Abstract: | Eighty patients with supraventricular tachycardia were treated by radiofrequency catheter ablation. Among them, 64 patients with atrioventricular (AV) reciprocat-ing tachycardia had 65 AV accessory pathways (AP). Fifty-two of 56 (92. 9%) left -sided APs and 7 of 9 (77. 8%)right-sided APs were successfully abolished. In 14 patients with AV node reentrant tachycardia (ablating slow pathway) and 2 patients with atrial tachycardia of atrial fibrillation (ablating AV node), all the ablations succeded. A learning curve in this new technique was shown clearly by comparison of the ablative procedures in our initial 30 patients with APs with those of the suc-cessive 34 patients. The causes of mislocating AP accord-ing to the surface ECG in WPW syndrome patients were also analysed. |
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| Keywords: | Supra ventricular tachycardia Radiof requency ablation Learning curve |
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