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用于多形性流出道室性心动过速的肺动脉隔离术

Pulmonary Artery Isolation for Polymorphic Outflow Tract Ventricular Tachycardia.

作者信息

Yagishita Atsuhiko, Yamauchi Yasuteru, Hirao Kenzo, Aonuma Kazutaka, Nogami Akihiko

机构信息

Department of Cardiology, Tokai University, Kanagawa, Japan.

Department of Cardiology, Japan Redcross Yokohama City Bay Hospital, Kanagawa, Japan.

出版信息

JACC Case Rep. 2021 Nov 17;3(16):1738-1742. doi: 10.1016/j.jaccas.2021.08.001.

DOI:10.1016/j.jaccas.2021.08.001
PMID:34825200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8603021/
Abstract

Malignant ventricular arrhythmias arising from the pulmonary artery rarely occur in patients without structural heart disease. We highlight the feasibility and efficacy of a circular catheter-guided pulmonary artery isolation procedure for frequent premature ventricular contractions and polymorphic ventricular tachycardia causing syncope. ().

摘要

起源于肺动脉的恶性室性心律失常在无结构性心脏病的患者中很少发生。我们强调了一种环形导管引导下的肺动脉隔离术对于频繁室性早搏和导致晕厥的多形性室性心动过速的可行性和有效性。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/f73e36651050/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/b7ba8ce2ecf5/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/75bb208324fe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/8810b34a8a3f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/8c04c5ca6e86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/f73e36651050/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/b7ba8ce2ecf5/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/75bb208324fe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/8810b34a8a3f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/8c04c5ca6e86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59c1/8603021/f73e36651050/gr4.jpg

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引用本文的文献

1
Ablation of Ventricular Arrhythmias Arising From the Pulmonary Artery.起源于肺动脉的室性心律失常的消融
JACC Case Rep. 2021 Nov 17;3(16):1743-1745. doi: 10.1016/j.jaccas.2021.09.007.

本文引用的文献

1
Pulmonary sinus cusp mapping and ablation: A new concept and approach for idiopathic right ventricular outflow tract arrhythmias.肺静脉窦嵴标测和消融：特发性右心室流出道心律失常的新概念和新方法。
Heart Rhythm. 2018 Jan;15(1):38-45. doi: 10.1016/j.hrthm.2017.08.007. Epub 2017 Aug 9.
2
Idiopathic Ventricular Arrhythmias Originating From the Pulmonary Sinus Cusp: Prevalence, Electrocardiographic/Electrophysiological Characteristics, and Catheter Ablation.特发性起源于肺静脉瓣的室性心律失常：患病率、心电图/电生理特征和导管消融。
J Am Coll Cardiol. 2015 Dec 15;66(23):2633-2644. doi: 10.1016/j.jacc.2015.09.094.
3
Positive QRS complex in lead i as a malignant sign in right ventricular outflow tract tachycardia: comparison between polymorphic and monomorphic ventricular tachycardia.
导联轴 I 中正向 QRS 波群作为右室流出道心动过速的恶性标志：多形性和单形性室性心动过速的比较。
Circ J. 2013;77(4):968-74. doi: 10.1253/circj.cj-12-0864. Epub 2012 Dec 14.
4
Idiopathic ventricular arrhythmias arising from the pulmonary artery: prevalence, characteristics, and topography of the arrhythmia origin.起源于肺动脉的特发性室性心律失常：心律失常起源的患病率、特征及部位
Heart Rhythm. 2008 Mar;5(3):419-26. doi: 10.1016/j.hrthm.2007.12.021. Epub 2008 Feb 6.
5
Demonstration of ventricular myocardial extensions into the pulmonary artery and aorta beyond the ventriculo-arterial junction.心室心肌延伸至肺动脉和主动脉，超过心室动脉交界处。
Pacing Clin Electrophysiol. 2007 Apr;30(4):534-9. doi: 10.1111/j.1540-8159.2007.00704.x.