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早期自发性室性早搏导致的伴有周期长度交替的上级型快慢型房室结折返性心动过速的异常重置。

Unusual resetting of superior-type fast-slow atrioventricular nodal reentrant tachycardia with cycle length alternans by early spontaneous premature ventricular contraction.

作者信息

Sekihara Takayuki, Nakano Tomoaki, Yoshida Akira, Oka Takafumi, Sakata Yasushi

机构信息

Faculty of Medical Sciences, Department of Cardiology University of Osaka Osaka Japan.

出版信息

J Arrhythm. 2024 Oct 21;40(6):1505-1509. doi: 10.1002/joa3.13163. eCollection 2024 Dec.

DOI:10.1002/joa3.13163
PMID:39669946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632253/
Abstract

The pacing maneuvers for supraventricular tachycardia with cycle length alternans are sometimes difficult, especially when diagnostic ventricular pacing does not conduct to the atrium. Even in such a situation, critical diagnostic findings can be obtained by spontaneous premature ventricular contraction.

摘要

对于伴有周期长度交替的室上性心动过速，起搏操作有时会很困难，尤其是在诊断性心室起搏不能传导至心房时。即使在这种情况下，通过自发性室性早搏也可获得关键的诊断结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/82609ca71201/JOA3-40-1505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/2aeb4c4a09ad/JOA3-40-1505-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/c93bfc79cee3/JOA3-40-1505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/82609ca71201/JOA3-40-1505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/2aeb4c4a09ad/JOA3-40-1505-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/c93bfc79cee3/JOA3-40-1505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe0/11632253/82609ca71201/JOA3-40-1505-g001.jpg

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本文引用的文献

1
SVT quest: The adventure diagnosing narrow QRS tachycardia.室上性心动过速探索：诊断窄QRS波心动过速的历程
J Arrhythm. 2024 Jul 11;40(4):767-785. doi: 10.1002/joa3.13112. eCollection 2024 Aug.
2
Systematic observation-based diagnosis of atrioventricular nodal reentrant tachycardia with a bystander concealed nodoventricular pathway.基于系统观察对伴有旁观者隐匿性结室旁道的房室结折返性心动过速进行诊断
J Arrhythm. 2023 Dec 15;40(1):131-142. doi: 10.1002/joa3.12976. eCollection 2024 Feb.
3
Unusual response to a ventricular extrastimulus during a narrow QRS tachycardia: What is the mechanism?
窄QRS波心动过速时对室性期外刺激的异常反应：机制是什么？
Pacing Clin Electrophysiol. 2022 Sep;45(9):1090-1091. doi: 10.1111/pace.14575. Epub 2022 Aug 8.
4
Atypical Fast-Slow Atrioventricular Nodal Reentrant Tachycardia Incorporating a "Superior" Slow Pathway: A Distinct Supraventricular Tachyarrhythmia.不典型快-慢房室结折返性心动过速合并“上位”慢径：一种特殊的室上性心动过速。
Circulation. 2016 Jan 12;133(2):114-23. doi: 10.1161/CIRCULATIONAHA.115.018443. Epub 2015 Nov 5.
5
The VA relationship after differential atrial overdrive pacing: a novel tool for the diagnosis of atrial tachycardia in the electrophysiologic laboratory.房性超速起搏后室房关系：电生理实验室中诊断房性心动过速的一种新工具。
J Cardiovasc Electrophysiol. 2007 Nov;18(11):1127-33. doi: 10.1111/j.1540-8167.2007.00928.x. Epub 2007 Aug 16.