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房室结多径路合并多种类型房室结折返性心动过速
引用本文:许大国,王玮,党书毅,王崇全,周建华,曹镇,周明. 房室结多径路合并多种类型房室结折返性心动过速[J]. 现代医学, 2004, 32(5): 308-310
作者姓名:许大国  王玮  党书毅  王崇全  周建华  曹镇  周明
作者单位:郧阳医学院附属太和医院,心内科,湖北,十堰,442000
摘    要:目的 探讨房室结多径路 (MAVNP)合并多种类型房室结折返性心动过速 (AVNRT)的诊断和射频消融治疗对策。方法 分析行心电生理检查和射频消融治疗的AVNRT患者 3 5例的临床资料。结果  3例诊断为MAVNP合并多种类型AVNRT ,其发生率为 8.6% ,均经射频消融慢径成功根治。结论 MAVNP合并多种类型AVNRT可有多种表现 ,需详细的电生理检查并仔细鉴别方能确诊 ,射频导管消融仍是有效的治疗手段。

关 键 词:房室结多径路  心动过速  房室结折返  导管消融
文章编号:1671-7562(2004)05-0308-03
修稿时间:2004-03-24

Multiple atrioventricular node pathways in patients with multiple types of atrioventricular nodal reentrant tachycardia
XU Da-guo,WANG Wei,DANG Shu-yi,WANG Chong-quan,ZHOU Jian-hua,CAO Zhen,ZHOU Ming. Multiple atrioventricular node pathways in patients with multiple types of atrioventricular nodal reentrant tachycardia[J]. Modern Medical JOurnal, 2004, 32(5): 308-310
Authors:XU Da-guo  WANG Wei  DANG Shu-yi  WANG Chong-quan  ZHOU Jian-hua  CAO Zhen  ZHOU Ming
Abstract:Objective To investigate the diagnosis and ablation therapy of multiple atrioventricular node pathways (MAVNP) in patients with multiple types of atrioventricular nodal reentrant tachycardia (AVNRT).Methods Data of 35 cases with AVNRT performed electrophysiologic study and radiofrequency current ablation were analysed retrogradely.Results MAVNP with multiple types of AVNRT in 3 cases were diagnosed and healed by radiofrequency current ablation, its occurrence rate was 8.6%. Conclusion Multiple types of AVNRT may occur in patients with MAVNP. Carefully electrophysiologic study should be performed before diagnosis of AVNRT with MAVNP, and radiofrequency current ablation is an effective therapy method.
Keywords:multiple atrioventricular node pathways  tachycardia  atrioventricular nodal reentrant  catheter ablation
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