Yamada Takumi, Murakami Yoshimasa, Okada Taro, McElderry Hugh Thomas, Doppalapudi Harish, Epstein Andrew E, Plumb Vance J, Murohara Toyoaki, Kay George Neal
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL 35294-0019, USA.
Europace. 2008 Nov;10(11):1320-4. doi: 10.1093/europace/eun238. Epub 2008 Aug 28.
Symptomatic premature atrial contractions (PACs) may be a target for catheter ablation. However, mapping of PACs with an atrial origin may not be easy because of erratic incidence and different sites of origin. Although the technique and efficacy of electroanatomic mapping has been established in stable arrhythmias, electroanatomic mapping of PACs in intermittent arrhythmias has not yet been reported. This article describes a manoeuvre for mapping PACs using an electroanatomic mapping system. Our experience has demonstrated that electroanatomic mapping using an auto-freeze map is feasible during PACs and may be an option for catheter ablation of PACs.
有症状的房性早搏(PACs)可能是导管消融的靶点。然而,由于其发生率不稳定且起源部位不同,对起源于心房的PACs进行标测可能并不容易。尽管在稳定心律失常中已确立了电解剖标测技术及其有效性,但间歇性心律失常中PACs的电解剖标测尚未见报道。本文介绍了一种使用电解剖标测系统对PACs进行标测的方法。我们的经验表明,在PACs发作期间使用自动冻结图进行电解剖标测是可行的,并且可能是PACs导管消融的一种选择。