Koplan Bruce A, Parkash Ratika, Couper Gregory, Stevenson William G
Division of Cardiology and Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Cardiovasc Electrophysiol. 2004 Feb;15(2):237-40. doi: 10.1046/j.1540-8167.2004.03370.x.
A combined epicardial-endocardial approach to ablation of inappropriate sinus tachycardia in a highly symptomatic patient who failed to respond to medical therapy and endocardial ablation is described. The anatomy and physiology of the sinus node is discussed, providing a basis for performing this procedure. This case provides an additional therapeutic option for a condition that often is difficult to manage.
描述了一种联合心外膜-心内膜入路，用于对一名症状严重、药物治疗和心内膜消融均无效的患者进行不适当窦性心动过速的消融。讨论了窦房结的解剖和生理，为实施该手术提供了依据。该病例为这种通常难以处理的病症提供了一种额外的治疗选择。
