Mahaim 附加通路
Mahaim Accessory Pathways.
作者信息
Katritsis Demosthenes G, Wellens Hein J, Josephson Mark E
机构信息
Athens Euroclinic, Athens, Greece.
Cardiovascular Research Institute, Maastricht, the Netherlands.
出版信息
Arrhythm Electrophysiol Rev. 2017 Apr;6(1):29-32. doi: 10.15420/aer.2016:35:1.
Abstract
The term Mahaim conduction is conventionally used to describe decrementally conducting connections between the right atrium or the AV node and the right ventricle in or close to the right bundle branch. Although such pathways are rare, their unique properties make their diagnosis and treatment cumbersome. In this article we review the published evidence, and discuss the electrocardiographic and electrophysiological characteristics as well as the anatomy and origin of these fibres.
摘要
传统上，Mahaim传导这一术语用于描述右心房或房室结与右束支内或其附近的右心室之间存在递减传导的连接。尽管这类径路很少见，但其独特特性使得对它们的诊断和治疗颇具难度。在本文中，我们回顾已发表的证据，并讨论这些纤维的心电图和电生理特征以及解剖结构和起源。
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本文引用的文献
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European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardiaca y Electrofisiologia (SOLAECE).欧洲心律协会（EHRA）关于室上性心律失常管理的共识文件，得到了心律学会（HRS）、亚太心律学会（APHRS）和拉丁美洲心脏刺激与电生理学会（SOLAECE）的认可。
Eur Heart J. 2018 Apr 21;39(16):1442-1445. doi: 10.1093/eurheartj/ehw455.
2
Slow automaticity of a Mahaim fibre after radiofrequency ablation.射频消融术后Mahaim纤维的缓慢自律性
Europace. 2014 Dec;16(12):1705. doi: 10.1093/europace/euu286. Epub 2014 Oct 27.
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Is the 12-lead electrocardiogram during antidromic circus movement tachycardia helpful in predicting the ablation site in atriofascicular pathways?逆向折返性心动过速时的12导联心电图对预测房室束旁道的消融部位有帮助吗？
Europace. 2014 Nov;16(11):1610-8. doi: 10.1093/europace/euu059. Epub 2014 Mar 28.
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Characterization of the distal insertion of atriofascicular accessory pathways and mechanisms of QRS patterns in atriofascicular antidromic tachycardia.房室结折返性心动过速中房室附加旁路远侧插入的特征及 QRS 波群形态的机制。
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New observation of electrocardiogram during sinus rhythm on the atriofascicular and decremental atrioventricular pathways/clinical perspective: [corrected] terminal QRS [corrected] complex slurring or notching.房室结和递减性房室旁路的窦性心律时心电图的新观察/临床视角：[纠正]终末 QRS[纠正]复合模糊或切迹。
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Wide-QRS tachycardia inducible by both atrial and ventricular pacing.房性和室性起搏均可诱发的宽QRS波心动过速。
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Electrophysiology at a crossroads.处于十字路口的电生理学。
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The electrocardiogram during sinus rhythm and tachycardia in patients with Mahaim fibers: the importance of an "rS" pattern in lead III.Mahaim纤维患者窦性心律和心动过速时的心电图：Ⅲ导联“rS”图形的重要性。
J Am Coll Cardiol. 2004 Oct 19;44(8):1626-35. doi: 10.1016/j.jacc.2004.07.035.
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