Nishimura Takuro, Goya Masahiko, Negishi Miho, Ikenouchi Takashi, Yamamoto Tasuku, Goto Kentaro, Shigeta Takatoshi, Tao Susumu, Takigawa Masateru, Miyazaki Shinsuke, Sasano Tetsuo
Department of Cardiovascular Medicine Tokyo Medical and Dental University (TMDU) Tokyo Japan.
Clin Case Rep. 2023 May 20;11(5):e7392. doi: 10.1002/ccr3.7392. eCollection 2023 May.
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.
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。