一名患有多种室上性快速心律失常患者的心房计算机化整体电生理标测。

Computerized global electrophysiological mapping of the atrium in a patient with multiple supraventricular tachyarrhythmias.

作者信息

Canavan T E, Schuessler R B, Cain M E, Lindsay B D, Boineau J P, Corr P B, Cox J L

机构信息

Department of Surgery, Washington University School of Medicine, Barnes Hospital, St. Louis, MO 63110.

出版信息

Ann Thorac Surg. 1988 Aug;46(2):232-5. doi: 10.1016/s0003-4975(10)65904-8.

DOI:10.1016/s0003-4975(10)65904-8

PMID:3401083

Abstract

The first clinical experience and the potential benefit of intraoperative global atrial-activation mapping recorded from 156 electrodes simultaneously are demonstrated in a 14-year-old girl with an ectopic (automatic) right atrial tachycardia, junctional tachycardia, and atrial flutter secondary to a previous atriotomy. Cryoablation of the right atrial focus terminated the automatic tachycardia, and surgical interruption of the atrial flutter pathway temporarily terminated this arrhythmia. Persistence of the junctional tachycardia necessitated elective cryoablation of the bundle of His.

摘要

在一名14岁女孩身上展示了同时从156个电极记录术中全球心房激活标测的首次临床经验及其潜在益处，该女孩患有异位（自律性）右房性心动过速、交界性心动过速以及既往心房切开术后继发的心房扑动。右房病灶的冷冻消融终止了自律性心动过速，心房扑动路径的手术阻断暂时终止了这种心律失常。交界性心动过速持续存在，因此有必要对希氏束进行选择性冷冻消融。