| 分支型室速发生机制与治疗的探讨 |
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| 引用本文： | 胡伟国,陈万春,张洁,王伊倩,唐瑞玲. 分支型室速发生机制与治疗的探讨[J]. 中国实用内科杂志, 2002, 22(12): 727-728 |
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| 作者姓名： | 胡伟国 陈万春 张洁 王伊倩 唐瑞玲 |
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| 作者单位： | 上海市第六人民医院心内科,200233 |
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| 摘 要： | 目的 探讨分支型室速 (FVT)的机制。方法 就 10例FVT的心电图特征、机制以及治疗作一探讨。结果 10例中 8例呈完全性右束支传导阻滞 (CRBBB) ,2例呈不完全性右束支传导阻滞 (ICRBBB) ;额面电轴LAD者中 8例 ,RAD者 2例。 5例经射频消融治疗、3例用异搏定治疗、1例利多卡因治疗、1例FVT发作时心率仅 6 8/min ,拟为自律性增高的逸博心律 ,阿托品使发作消失。 1例有文氏传出阻滞后 ,该 2例似不能以折返机制解释 ,余近返机制可能性为大。讨论 支型室速多为折返机制 ,但不能排除自律性增高。
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| 关 键 词： | 分支型室速 异搏定 射频消融 |
| 文章编号： | 1005-2194(2002)12-0727-02 |
| 修稿时间： | 2002-04-09 |
On some aspects of fasicular ventricular tachycardia |
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| Hu Weiguo,Chen Wanchun,Zhang Jie,et al.. On some aspects of fasicular ventricular tachycardia[J]. Chinese Journal of Practical Internal Medicine, 2002, 22(12): 727-728 |
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| Authors: | Hu Weiguo Chen Wanchun Zhang Jie et al. |
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| Affiliation: | Hu Weiguo,Chen Wanchun,Zhang Jie,et al. Department of Cardiology,Shanghai Sixth People's Hospital,Shanghai 200233,China |
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| Abstract: | Objective To investigate the possible mechanism of fasicular ventricular tachycardia(FVT).Method Ten cases of FVT with different ECG manifestion and treatment were analysed.Of the 10 cases,8 exhibited LAD and 2 RAD.Ablation was performed on 5 cases;3 cases were treated with verapamil,1 case with lidocaine;in another case ventricular rate was 68bpm,and ventricular escape rhythm was considered.One case exhibited Wenckenbach conduction.Reentry seemed unlikely in these 2 cases.Result Reentry was the basis in most cases of FVT,but in some,enhanced automaticity could be the underlying mechanism. |
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| Keywords: | Fasicular ventricular tachycardia Verapamil Ablation |
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