[局灶性房性心动过速：诊断与治疗]
[Focal atrial tachycardias: diagnostics and therapy].
作者信息
Gunawardene Melanie A, Hartmann Jens, Kottmaier Marc, Bourier Felix, Busch Sonia, Sommer Philipp, Maurer Tilman, Althoff Till, Shin Dong-In, Duncker David, Johnson Victoria, Estner Heidi, Rillig Andreas, Iden Leon, Tilz Roland, Metzner Andreas, Chun K R Julian, Steven Daniel, Jansen Henning, Jadidi Amir, Willems Stephan
机构信息
Klinik für Kardiologie und internistische Intensivmedizin, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Deutschland.
Abteilung für Elektrophysiologie, Deutsches Herzzentrum München, Technische Universität München, München, Deutschland.
出版信息
Herzschrittmacherther Elektrophysiol. 2022 Dec;33(4):467-475. doi: 10.1007/s00399-022-00907-2. Epub 2022 Nov 7.
In this article, typical characteristics of focal atrial tachycardias are described and a systematic approach regarding diagnostics and treatment options in the field of invasive cardiac electrophysiology (EP) is presented. Subjects of this article include the definition of focal atrial tachycardias, knowledge about localizing the origin of such, and guidance on how to approach an invasive EP study (e.g., administration of medication during the EP study to provoke tachycardias). Further, descriptions will be found on how to localize the origin of focal atrial tachycardias with the help of the 12-lead ECG and invasive three-dimensional mapping to successfully treat focal atrial tachycardias with catheter ablation.
本文描述了局灶性房性心动过速的典型特征，并介绍了侵入性心脏电生理学（EP）领域中关于诊断和治疗选择的系统方法。本文的主题包括局灶性房性心动过速的定义、关于确定其起源位置的知识，以及关于如何进行侵入性EP研究的指导（例如，在EP研究期间给药以诱发心动过速）。此外，还将介绍如何借助12导联心电图和侵入性三维标测来确定局灶性房性心动过速的起源位置，以便通过导管消融成功治疗局灶性房性心动过速。
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