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[通过分析心室收缩过程对预激综合征中预激进行定位]

[Localization of pre-excitation in the WPW syndrome by analysis of the ventricular contraction course].

作者信息

Nitsch J, Reske S N, Manz M, Knopp R, Winkler C, Lüderitz B

出版信息

Z Kardiol. 1985 Sep;74(9):495-9.

PMID:2998110
Abstract

Fourier phase analysis of gated radionuclide ventriculography (RNV) was applied in 23 patient for the identification of cardiac contraction patterns in WPW syndrome (controls with normal ventricular function and sinus rhythm, n = 30). The sequence and velocity of regional ventricular wall motion was determined and correlated to the results of electrophysiological studies. In 3/23 patients the contraction pattern was not different from controls. Indicating the preexcitation in 20/23 patients the earliest ventricular contraction was localized as follows: right atrial n = 5, paraseptal right n = 2, paraseptal left n = 6 and atrial left n = 7. In 15/16 patients nuclear data corresponded with electrophysiological endocardial mapping. Phase analysis of RNV provides a reliable non-invasive method for localization of preexcitation in WPW syndrome.

摘要

对23例患者应用门控放射性核素心室造影(RNV)的傅里叶相位分析来识别预激综合征(WPW)中的心脏收缩模式(心室功能正常且窦性心律的对照组,n = 30)。确定了局部心室壁运动的顺序和速度,并将其与电生理研究结果相关联。在23例患者中有3例的收缩模式与对照组无差异。在23例患者中有20例显示存在预激,最早的心室收缩定位如下:右心房n = 5,右旁间隔n = 2,左旁间隔n = 6,左心房n = 7。在16例患者中有15例的核数据与电生理心内膜标测结果相符。RNV的相位分析为WPW综合征中预激的定位提供了一种可靠的非侵入性方法。

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