• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

缺血性心肌病患者室性心动过速的标测：当前方法和未来展望。

Mapping of ventricular tachycardia in patients with ischemic cardiomyopathy: Current approaches and future perspectives.

机构信息

Division of Cardiology, San Filippo Neri Hospital, Rome, Italy.

Boston Scientific Italy, Milan, Italy.

出版信息

Clin Cardiol. 2019 Oct;42(10):1041-1050. doi: 10.1002/clc.23245. Epub 2019 Aug 14.

DOI:10.1002/clc.23245
PMID:31411347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6788471/
Abstract

Despite the technical improvements made in recent years, the overall long-term success rate of ventricular tachycardia (VT) ablation in patients with ischemic cardiomyopathy remains disappointing. This unsatisfactory situation has persisted even though several approaches to VT substrate ablation allow mapping and ablation of noninducible/nontolerated arrhythmias. The current substrate mapping methods present some shortcomings regarding the accurate definition of the true scar, the modality of detection in sinus rhythm of abnormal electrograms that identify sites of critical channels during VT and the possibility to determine the boundaries of functional re-entrant circuits during sinus or paced rhythms. In this review, we focus on current and proposed ablation strategies for VT to provide an overview of the potential/real application (and results) of several ablation approaches and future perspectives.

摘要

尽管近年来在技术上取得了进步，但缺血性心肌病患者室性心动过速（VT）消融的总体长期成功率仍然不尽如人意。即使有几种 VT 基质消融方法可以进行映射和消融不可诱导/不可耐受的心律失常，这种不理想的情况仍然存在。目前的基质映射方法在准确定义真正的疤痕、窦性心律下心律失常异常电描记图的检测方式、确定窦性或起搏节律下功能性折返环边界的能力方面存在一些缺陷。在这篇综述中，我们专注于目前和建议的 VT 消融策略，提供几种消融方法的潜在/实际应用（和结果）的概述和未来展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/ab46c145192e/CLC-42-1041-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/a3d3994974ed/CLC-42-1041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/b22f31344108/CLC-42-1041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/c02b1ab1e1b7/CLC-42-1041-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/ab46c145192e/CLC-42-1041-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/a3d3994974ed/CLC-42-1041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/b22f31344108/CLC-42-1041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/c02b1ab1e1b7/CLC-42-1041-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4e/6788471/ab46c145192e/CLC-42-1041-g004.jpg

相似文献

1
Mapping of ventricular tachycardia in patients with ischemic cardiomyopathy: Current approaches and future perspectives.缺血性心肌病患者室性心动过速的标测：当前方法和未来展望。
Clin Cardiol. 2019 Oct;42(10):1041-1050. doi: 10.1002/clc.23245. Epub 2019 Aug 14.
2
Substrate-modification using electroanatomical mapping in sinus rhythm to treat ventricular tachycardia in patients with ischemic cardiomyopathy.在窦性心律下使用电解剖标测进行基质改良以治疗缺血性心肌病患者的室性心动过速。
Z Kardiol. 2005 Jul;94(7):453-60. doi: 10.1007/s00392-005-0240-3.
3
Substrate characterization and catheter ablation in patients with scar-related ventricular tachycardia using ultra high-density 3-D mapping.使用超高密度三维标测对瘢痕相关性室性心动过速患者进行基质特征分析和导管消融
J Cardiovasc Electrophysiol. 2017 Sep;28(9):1058-1067. doi: 10.1111/jce.13270. Epub 2017 Jul 3.
4
High-density mapping of ventricular scar: a comparison of ventricular tachycardia (VT) supporting channels with channels that do not support VT.高密度心室瘢痕标测：比较支持室性心动过速（VT）的通道与不支持 VT 的通道。
Circ Arrhythm Electrophysiol. 2014 Feb;7(1):90-8. doi: 10.1161/CIRCEP.113.000882. Epub 2014 Jan 1.
5
Ablation of ventricular tachycardia in patients with nonischemic cardiomyopathy.非缺血性心肌病患者室性心动过速的消融治疗
J Cardiovasc Electrophysiol. 2008 Nov;19(11):1227-30. doi: 10.1111/j.1540-8167.2008.01268.x.
6
Sinus rhythm detection of conducting channels and ventricular tachycardia isthmus in arrhythmogenic right ventricular cardiomyopathy.致心律失常性右心室心肌病的传导通道和室性心动过速峡部的窦性节律检测。
Heart Rhythm. 2014 May;11(5):747-54. doi: 10.1016/j.hrthm.2014.02.016. Epub 2014 Feb 19.
7
Ischemic ventricular tachycardia from below the posteromedial papillary muscle, a particular entity: Substrate characterization and challenges for catheter ablation.发自后内侧乳头肌下方的缺血性室性心动过速，一种特殊实体：基质特征及导管消融的挑战。
Heart Rhythm. 2019 Aug;16(8):1174-1181. doi: 10.1016/j.hrthm.2019.02.016. Epub 2019 May 11.
8
Optimal cardiac rhythm during substrate mapping in scar-related ventricular tachycardia: Significance of wavefront direction on identifying critical sites.在与瘢痕相关的室性心动过速的底物标测中优化心脏节律：波阵面方向在确定关键部位中的意义。
Heart Rhythm. 2024 Aug;21(8):1298-1307. doi: 10.1016/j.hrthm.2024.02.060. Epub 2024 Mar 1.
9
Ablation of Stable VTs Versus Substrate Ablation in Ischemic Cardiomyopathy: The VISTA Randomized Multicenter Trial.缺血性心肌病中稳定型室性心动过速的消融与基质消融的比较：VISTA 随机多中心试验。
J Am Coll Cardiol. 2015 Dec 29;66(25):2872-2882. doi: 10.1016/j.jacc.2015.10.026.
10
Short-term results of substrate mapping and radiofrequency ablation of ischemic ventricular tachycardia using a saline-irrigated catheter.使用盐水灌注导管进行缺血性室性心动过速基质标测和射频消融的短期结果
J Am Coll Cardiol. 2003 Jun 18;41(12):2228-36. doi: 10.1016/s0735-1097(03)00492-3.

引用本文的文献

1
Significance of coherent mapping in unveiling slow conduction zones of ventricular tachycardia substrate in ischemic cardiomyopathy.相干映射在揭示缺血性心肌病中心室性心动过速基质的缓慢传导区方面的意义。
J Interv Card Electrophysiol. 2025 May 21. doi: 10.1007/s10840-025-02066-z.
2
Catheter ablation versus medical therapy for ventricular tachycardia in patients with ischemic heart disease: A systematic review and meta-analysis of randomized controlled trials.缺血性心脏病患者室性心动过速的导管消融与药物治疗：随机对照试验的系统评价和荟萃分析
Indian Pacing Electrophysiol J. 2025 Mar-Apr;25(2):91-103. doi: 10.1016/j.ipej.2025.03.004. Epub 2025 Mar 7.
3

本文引用的文献

1
Local Conduction Velocity in the Presence of Late Gadolinium Enhancement and Myocardial Wall Thinning: A Cardiac Magnetic Resonance Study in a Swine Model of Healed Left Ventricular Infarction.存在晚期钆增强和心肌壁变薄时的局部传导速度：在猪愈合性左心室梗死模型中的心脏磁共振研究。
Circ Arrhythm Electrophysiol. 2019 May;12(5):e007175. doi: 10.1161/CIRCEP.119.007175.
2
Outcomes of simultaneous unipolar radiofrequency catheter ablation for intramural septal ventricular tachycardia in nonischemic cardiomyopathy.非缺血性心肌病患者室壁内间隔性室性心动过速的单极射频导管消融的治疗结果。
Heart Rhythm. 2019 Jun;16(6):863-870. doi: 10.1016/j.hrthm.2018.12.018. Epub 2018 Dec 18.
3
Near-Infrared Spectroscopic Mapping of the Human Epicardium.
人体心外膜的近红外光谱成像
J Biophotonics. 2025 Mar;18(3):e202400464. doi: 10.1002/jbio.202400464. Epub 2025 Jan 18.
4
Biological Modification of Arrhythmogenic Substrates by Cell-Free Therapeutics.细胞游离治疗的心律失常基质的生物学修饰。
Heart Lung Circ. 2023 Jul;32(7):844-851. doi: 10.1016/j.hlc.2023.05.016. Epub 2023 Jun 22.
5
Level and clinical significance of serum bFGF in patients with ischemic cardiomyopathy.缺血性心肌病患者血清碱性成纤维细胞生长因子水平及其临床意义。
Am J Transl Res. 2023 Feb 15;15(2):1334-1342. eCollection 2023.
6
The scar: the wind in the perfect storm-insights into the mysterious living tissue originating ventricular arrhythmias.瘢痕：完美风暴中的风——深入了解起源于心室心律失常的神秘活体组织。
J Interv Card Electrophysiol. 2023 Jan;66(1):27-38. doi: 10.1007/s10840-021-01104-w. Epub 2022 Jan 24.
Infarct-Related Ventricular Tachycardia: Redefining the Electrophysiological Substrate of the Isthmus During Sinus Rhythm.
梗死相关室性心动过速：窦性心律时重塑峡部的电生理基质。
JACC Clin Electrophysiol. 2018 Aug;4(8):1033-1048. doi: 10.1016/j.jacep.2018.04.007. Epub 2018 Jun 27.
4
Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia.用于室性心动过速消融的非侵入性心脏放射治疗。
N Engl J Med. 2017 Dec 14;377(24):2325-2336. doi: 10.1056/NEJMoa1613773.
5
Endocardial infarct scar recognition by myocardial electrical impedance is not influenced by changes in cardiac activation sequence.心肌阻抗识别心内膜梗死瘢痕不受心脏激活顺序变化的影响。
Heart Rhythm. 2018 Apr;15(4):589-596. doi: 10.1016/j.hrthm.2017.11.031. Epub 2017 Dec 27.
6
Entrainment Mapping.同步映射
Card Electrophysiol Clin. 2017 Mar;9(1):55-69. doi: 10.1016/j.ccep.2016.10.004.
7
Elucidation of hidden slow conduction by double ventricular extrastimuli: a method for further arrhythmic substrate identification in ventricular tachycardia ablation procedures.双心室早搏阐明隐匿性缓慢传导：室性心动过速消融术中心律失常基质进一步鉴定的一种方法。
Europace. 2018 Feb 1;20(2):337-346. doi: 10.1093/europace/euw325.
8
Development of Time- and Voltage-Domain Mapping (V-T-Mapping) to Localize Ventricular Tachycardia Channels During Sinus Rhythm.用于在窦性心律期间定位室性心动过速通道的时间和电压域映射（V-T映射）的开发。
Circ Arrhythm Electrophysiol. 2016 Dec;9(12). doi: 10.1161/CIRCEP.116.004050.
9
Formation of Functional Conduction Block During the Onset of Reentrant Ventricular Tachycardia.折返性室性心动过速发作时功能性传导阻滞的形成
Circ Arrhythm Electrophysiol. 2016 Dec;9(12). doi: 10.1161/CIRCEP.116.004462.
10
Substrate-Based Ablation Versus Ablation Guided by Activation and Entrainment Mapping for Ventricular Tachycardia: A Systematic Review and Meta-Analysis.基于基质的消融与激动和拖带标测指导的消融治疗室性心动过速：一项系统评价和荟萃分析
J Cardiovasc Electrophysiol. 2016 Dec;27(12):1437-1447. doi: 10.1111/jce.13088. Epub 2016 Oct 6.