Salerno J A, Klersy C, Chimienti M, Vigano M, Marangoni E, Costantini M, Martinelli L, Previtali M, Taccardi B
Arch Mal Coeur Vaiss. 1985 Oct;78(10):1537-43.
Since the introduction and development of mapping methods in clinical practice, some arrhythmias can now be treated surgically. We studied an automatized method of epicardial mapping necessitating only a single ventricular complex for the definition of epicardial activation; the signal was acquired from 35 monopolar electrodes spread out over the whole of the ventricular epicardium or concentrated in the zone of epicardial break through to localise its site more accurately. The acquisition, elaboration and tracing of these maps were performed with a computer; the activation can be presented as isochrones or isopotentials. The main value of this method of automatic mapping is the possibility of studying irregular arrhythmias whose potentials are difficult to obtain beat manually. This method has already been applied to 21 patients with ventricular tachycardia unresponsive to medical treatment and referred for surgery.
自从在临床实践中引入并发展了标测方法以来，现在一些心律失常可以通过手术治疗。我们研究了一种心外膜标测的自动化方法，该方法仅需一个心室复合波即可定义心外膜激动；信号从分布在整个心室心外膜上的35个单极电极获取，或集中在心外膜突破区域以更准确地定位其位置。这些图谱的采集、处理和描绘由计算机完成；激动可表示为等时线或等电位线。这种自动标测方法的主要价值在于能够研究其电位难以逐搏手动获取的不规则心律失常。该方法已应用于21例药物治疗无效并转诊接受手术的室性心动过速患者。
