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不同类型房颤患者双心房基质特性的差异

Differences of BiAtrial Substrate Properties in Patients with Different Types of AF.

作者信息

Suenari Kazuyoshi, Hirao Hidekazu, Okamoto Mitsunori, Kihara Yasuki, Chen Shih-Ann

机构信息

Department of Cardiology, Hiroshima Prefectural Hospital, Hiroshima, Japan.

Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima,Japan.

出版信息

J Atr Fibrillation. 2012 Dec 16;5(4):421. doi: 10.4022/jafib.421. eCollection 2012 Dec.

DOI:10.4022/jafib.421
PMID:28496784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5153148/
Abstract

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in clinical practice and induces cardiac dysfunction and strokes. The development of AF requires a"trigger" and also an electroanatomic "substrate" capable of both initiating and perpetuating AF. Over the past decade, the understanding of the AF substrate properties in both atria has increased with fractionation and frequency analyses of the local atrial electrograms using three-dimensional electroanatomic mapping systems. The purpose of this review was to discuss the differences in the atrial substrate properties in patients with different types of AF.

摘要

心房颤动(AF)是临床实践中最常见的持续性心律失常,可导致心脏功能障碍和中风。房颤的发生需要一个“触发因素”,还需要一个能够启动并维持房颤的电解剖“基质”。在过去十年中,通过使用三维电解剖标测系统对局部心房电图进行碎裂和频率分析,人们对两个心房中房颤基质特性的认识有所增加。本综述的目的是讨论不同类型房颤患者心房基质特性的差异。

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本文引用的文献

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Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial.经导管消融局部起源治疗心房颤动:CONFIRM(房颤常规消融伴或不伴局灶激动和转子调制)试验。
J Am Coll Cardiol. 2012 Aug 14;60(7):628-36. doi: 10.1016/j.jacc.2012.05.022. Epub 2012 Jul 18.
2
Relationship between clinical outcomes and unintentional pulmonary vein isolation during substrate ablation of atrial fibrillation guided solely by complex fractionated atrial electrogram mapping.单纯根据碎裂心房电图标测指导的心房颤动基质标测消融术中心律失常的临床转归与非意向性肺静脉隔离的关系。
J Cardiol. 2011 Nov;58(3):278-86. doi: 10.1016/j.jjcc.2011.07.006. Epub 2011 Aug 21.
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Relationship between complex fractionated electrograms (CFE) and dominant frequency (DF) sites and prospective assessment of adding DF-guided ablation to pulmonary vein isolation in persistent atrial fibrillation (AF).复杂碎裂电图(CFE)与优势频率(DF)部位的关系,以及前瞻性评估在持续性心房颤动(AF)中,DF 指导消融是否可添加到肺静脉隔离中。
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4
Correlation between AF substrate ablation difficulty and left atrial fibrosis quantified by delayed-enhancement cardiac magnetic resonance.通过延迟强化心脏磁共振成像量化的房颤基质消融难度与左心房纤维化之间的相关性。
Pacing Clin Electrophysiol. 2011 Oct;34(10):1267-77. doi: 10.1111/j.1540-8159.2011.03148.x. Epub 2011 Jun 8.
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Pulmonary vein isolation with complex fractionated atrial electrogram ablation for paroxysmal and nonparoxysmal atrial fibrillation: A meta-analysis.采用复杂碎裂心房电图消融术进行阵发性和非阵发性心房颤动的肺静脉隔离:一项荟萃分析。
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Additional ablation of complex fractionated atrial electrograms after pulmonary vein isolation in patients with atrial fibrillation: a meta-analysis. 房颤患者肺静脉隔离术后复杂碎裂心房电图的附加消融:一项荟萃分析。
Circ Arrhythm Electrophysiol. 2011 Apr;4(2):143-8. doi: 10.1161/CIRCEP.110.958405. Epub 2011 Feb 8.
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