窦房结的转化解剖学：肌结构及其与导管消融的相关性：第二部分：临床应用
Translational Anatomy of the Sinoatrial Node: Myoarchitecture and its Relevance for Catheter Ablation: Part II: Clinical Applications.
作者信息
Jiménez Restrepo Alejandro, Razminia Mansour, Sánchez Quintana Damián, Cabrera José Ángel
机构信息
Florida Electrophysiology Associates, Atlantis, Florida, USA; University of Maryland School of Medicine, Baltimore, Maryland, USA.
Amita St Joseph Hospital, Chicago, Illinois, USA.
出版信息
JACC Case Rep. 2025 Apr 2;30(7):103681. doi: 10.1016/j.jaccas.2025.103681.
ANATOMY
Clinical applications relevant to the sinoatrial node anatomy for interventional electrophysiology procedures are reviewed.
PATHOLOGY
Inappropriate sinus tachycardia, atrial tachycardia, and superior vena cava triggers for atrial fibrillation.
IMAGING CORRELATION
Three-dimensional electroanatomic mapping, intracardiac echocardiography.
TREATMENT
Ablation guided by activation mapping and intracardiac electrograms.
TAKE-HOME MESSAGE: Understanding the anatomy of the sinoatrial node and the perinodal region provides key anatomic concepts to safely and effectively guide ablation procedures.
解剖学
回顾了与介入性电生理手术中窦房结解剖相关的临床应用。
病理学
不适当窦性心动过速、房性心动过速以及心房颤动的上腔静脉触发因素。
影像学关联
三维电解剖标测、心腔内超声心动图。
治疗
通过激动标测和心腔内电图指导消融。
要点
了解窦房结及其周围区域的解剖结构为安全有效地指导消融手术提供了关键的解剖学概念。
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