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右束支起源加速性室性自主心律时右心室间隔激动的描绘。

Delineation of the right ventricular septal activation during a right bundle branch origin accelerated idioventricular rhythm.

作者信息

Nishimura Takuro, Goya Masahiko, Negishi Miho, Ikenouchi Takashi, Yamamoto Tasuku, Goto Kentaro, Shigeta Takatoshi, Tao Susumu, Takigawa Masateru, Miyazaki Shinsuke, Sasano Tetsuo

机构信息

Department of Cardiovascular Medicine Tokyo Medical and Dental University (TMDU) Tokyo Japan.

出版信息

Clin Case Rep. 2023 May 20;11(5):e7392. doi: 10.1002/ccr3.7392. eCollection 2023 May.

DOI:10.1002/ccr3.7392
PMID:37220508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10199820/
Abstract

Accelerated idioventricular rhythm (AIVR) originating from the right bundle branch (RBB) (RBB-AIVR) is a rare ventricular arrhythmia. We delineated RBB and myocardial activation separately during RBB-AIVR, which revealed the spatial relationship of the AIVR origin, preferential pathway, and breakout site. Radiofrequency ablation to the preferential pathway successfully eliminated this arrhythmia.

摘要

起源于右束支(RBB)的加速性室性自主心律(AIVR)(RBB-AIVR)是一种罕见的室性心律失常。我们在RBB-AIVR期间分别描绘了右束支和心肌的激活情况,这揭示了AIVR起源、优势传导路径和突破位点的空间关系。对优势传导路径进行射频消融成功消除了这种心律失常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1de/10199820/3fe5cd1f712a/CCR3-11-e7392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1de/10199820/3fe5cd1f712a/CCR3-11-e7392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1de/10199820/3fe5cd1f712a/CCR3-11-e7392-g001.jpg

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本文引用的文献

1
Multifocal Ventricular Arrhythmias Originating From the His-Purkinje System: Incidence, Characteristics, and Outcome of Catheter Ablation.多灶性室性心律失常起源于希氏-浦肯野系统:导管消融的发生率、特征和结果。
JACC Clin Electrophysiol. 2018 Sep;4(9):1248-1260. doi: 10.1016/j.jacep.2018.06.015. Epub 2018 Jul 25.
2
Successful catheter ablation of focal ventricular tachycardia originating from right bundle branch without making right bundle branch block, using pharmacologic induction by landiolol.使用兰地洛尔进行药物诱导,成功地对起源于右束支的局灶性室性心动过速进行导管消融,且未造成右束支阻滞。
HeartRhythm Case Rep. 2017 Oct 10;3(12):586-589. doi: 10.1016/j.hrcr.2017.09.006. eCollection 2017 Dec.
3
Idiopathic accelerated idioventricular rhythm or ventricular tachycardia originating from the right bundle branch: unusual type of ventricular arrhythmia.
特发性加速性室性自主心律或起源于右束支的室性心动过速:一种不寻常类型的室性心律失常。
Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1159-67. doi: 10.1161/CIRCEP.114.002112. Epub 2014 Nov 6.
4
Role of the conduction system in the endocardial excitation spread in the right ventricle.传导系统在右心室内膜兴奋传播中的作用。
Am J Cardiol. 1981 Nov;48(5):864-70. doi: 10.1016/0002-9149(81)90351-9.