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使用高分辨率标测对缺血性心肌病中血流动力学不稳定的室性心动过速进行导管消融。

Catheter ablation of hemodynamically unstable ventricular tachycardia in ischemic cardiomyopathy using high-resolution mapping.

作者信息

Kaiser Lukas, Jularic Mario, Akbulak Ruken Özge, Nührich Jana, Willems Stephan, Meyer Christian

机构信息

Department of Cardiology and Electrophysiology University Heart Center Hamburg Hamburg Germany.

Department of Cardiology and Electrophysiology University Heart Center Hamburg Hamburg Germany; DZHK (German Center for Cardiovascular Research) Partner Site Hamburg/Kiel/Lübeck Hamburg Germany.

出版信息

Clin Case Rep. 2017 Feb 17;5(4):389-393. doi: 10.1002/ccr3.833. eCollection 2017 Apr.

DOI:10.1002/ccr3.833
PMID:28396753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5378853/
Abstract

Catheter ablation is a recommended therapy option for ventricular tachycardia (VT). The antegrade transseptal approach for targeting VT with left ventricular origin is feasible with the high-resolution basket catheter. High-resolution mapping offers the potential to quickly acquire detailed voltage and activation maps. This may help to identify the crucial VT-substrate even in patients with huge scar areas and hemodynamically unstable VT.

摘要

导管消融是室性心动过速（VT）的一种推荐治疗选择。使用高分辨率篮状导管经前向穿间隔途径靶向左心室起源的室性心动过速是可行的。高分辨率标测提供了快速获取详细电压和激动标测图的潜力。这可能有助于识别关键的室性心动过速基质，即使是在有大面积瘢痕区域和血流动力学不稳定的室性心动过速患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb6/5378853/ac6c35cec5f9/CCR3-5-389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb6/5378853/b54370d86069/CCR3-5-389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb6/5378853/ac6c35cec5f9/CCR3-5-389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb6/5378853/b54370d86069/CCR3-5-389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb6/5378853/ac6c35cec5f9/CCR3-5-389-g002.jpg

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本文引用的文献

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High-Resolution Mapping of Postinfarction Reentrant Ventricular Tachycardia: Electrophysiological Characterization of the Circuit.心肌梗死后折返性室性心动过速的高分辨率标测：环路的电生理特征
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Characterization, Mapping, and Ablation of Complex Atrial Tachycardia: Initial Experience With a Novel Method of Ultra High-Density 3D Mapping.复杂房性心动过速的特征分析、标测与消融：超高密度三维标测新方法的初步经验
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High-Resolution Mapping of Ventricular Scar: Comparison Between Single and Multielectrode Catheters.
心室瘢痕的高分辨率标测：单电极导管与多电极导管的比较
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2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC).2015年欧洲心脏病学会（ESC）室性心律失常患者管理和心脏性猝死预防指南：欧洲心脏病学会（ESC）室性心律失常患者管理和心脏性猝死预防特别工作组。认可机构：欧洲儿科和先天性心脏病协会（AEPC）。
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