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心肌梗死后右心室室性心动过速的基质显示。

Demonstration of a right ventricular substrate of ventricular tachycardia after myocardial infarction.

机构信息

Division of Cardiovascular Disease, University of Alabama at Birmingham, VH B147, 1670 University Boulevard, 1530 3rd AVE S, Birmingham, AL 35294-0019, USA.

出版信息

Europace. 2011 Jan;13(1):133-5. doi: 10.1093/europace/euq345. Epub 2010 Sep 21.

DOI:10.1093/europace/euq345
PMID:20858693
Abstract

A 57-year-old man with prior anteroseptal myocardial infarction underwent catheter ablation of ventricular tachycardia (VT) exhibiting a left bundle branch block QRS morphology. After failed left ventricular ablation, catheter ablation from the right ventricle (RV) eliminated the VT. An RV voltage map demonstrated an area of low voltage around the successful ablation site that likely allowed for a VT substrate.

摘要

一位 57 岁男性,曾患有前间隔心肌梗死,因表现出左束支传导阻滞 QRS 形态的室性心动过速(VT)而行导管消融术。左心室消融失败后,从右心室(RV)进行导管消融消除了 VT。RV 电压图显示成功消融部位周围存在低电压区域,这可能为 VT 基质提供了条件。

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引用本文的文献

1
Right ventricular free-wall scar: an exceptional source of post-infarction ventricular tachycardia. A case report.右心室游离壁瘢痕:心肌梗死后室性心动过速的罕见起源。病例报告。
Eur Heart J Case Rep. 2019 Jun 1;3(2). doi: 10.1093/ehjcr/ytz067.