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缺血性心律失常机制的电生理实验研究
引用本文:尹红,张薇,王子法,张运,刘旭,张振杰. 缺血性心律失常机制的电生理实验研究[J]. 中国循环杂志, 1993, 0(4)
作者姓名:尹红  张薇  王子法  张运  刘旭  张振杰
作者单位:山东医科大学附属医院心内科(尹红,张薇,王子法,张运,刘旭),山东省莱芜市城关镇医院内科(张振杰)
摘    要:本文在20只狗实验性缺血时,应用心电活动三维标测系统,对心肌“多层次双极针电极”进行电生理检查。结果表明,86%的缺血性心律失常起源于缺血区心内膜下,与缺血心肌发生延迟激动、分裂电活动及连续电活动有关,支持壁内折返机制。14%的心律失常起源于再灌注区的正常交界处的心内膜下,未记录到分裂电活动及连续电活动,支持非折返机制。

关 键 词:缺血  心律失常

ELECTROPHYSIOLOGIC STUDY ON THE MECHANISM OF ISCHEMIC ARRHYTHMIAS IN DOGS
Yin Hong,Zhang Wei,Wang Zi-Fa,et al.. ELECTROPHYSIOLOGIC STUDY ON THE MECHANISM OF ISCHEMIC ARRHYTHMIAS IN DOGS[J]. Chinese Circulation Journal, 1993, 0(4)
Authors:Yin Hong  Zhang Wei  Wang Zi-Fa  et al.
Affiliation:Yin Hong,Zhang Wei,Wang Zi-Fa,et al. Affiliated Hospital of Shandong Medical University,Jinan
Abstract:Twenty dogs of experimental ischemia were studied with a three dimensional mapping system of cardiac electrical activity and multiple-level myocardial recordings by bipolar plunge-needle electrodes. 86% of theischemic arrhythmias (IA) initiated in the ischemic subendocardium were associated with delayed fragmented activity and continuous electrical activity in accordance with intramural reentry. 14% of IA initiated in the subendocardium of the normal junction zone in the reperfused zone and multiple-level myocardial recordings showed that there was no fragmented activity and continuous electrical activity in accordance with a nonreentrant mechanism.
Keywords:Ischemic arrhythmia  Electrophysiology
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