心房颤动射频消融术中短暂性下壁导联ST段抬高
Transient Inferior Lead ST Elevation During Radiofrequency Ablation of Atrial Fibrillation.
作者信息
P Soos Michael, C Madala Mohan, Kanjwal Khalil
机构信息
Cardiology Section of McLaren Greater Lansing.
出版信息
J Atr Fibrillation. 2020 Apr 30;12(6):2293. doi: 10.4022/jafib.2293. eCollection 2020 Apr-May.
Abstract
Radiofrequency ablation (RFA) is a commonly performed procedure for symptomatic atrial fibrillation (AF). Herein, we describe a case of transient ST elevation during the isolation of right-sided pulmonary veins. The patient was hemodynamically stable and due to the transient nature of ST-elevation, the procedure was completed successfully. Subsequently, the cardiac catheterization was performed which did not reveal any significant obstructive coronary lesion or a thrombus. In this report, we attempt to explain possible mechanisms for ST-elevation during RFA of AF.
摘要
射频消融术（RFA）是治疗症状性心房颤动（AF）的常用方法。在此，我们描述一例在右侧肺静脉隔离过程中出现短暂性ST段抬高的病例。患者血流动力学稳定，由于ST段抬高具有短暂性，手术得以成功完成。随后进行了心导管检查，未发现任何明显的阻塞性冠状动脉病变或血栓。在本报告中，我们试图解释房颤射频消融术中ST段抬高的可能机制。
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