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房室结及右下方结延伸的电解剖标测:来自一组病例的见解

Electroanatomic Mapping of the Atrioventricular Node and Right Inferior Nodal Extension: Insights from a Case Series.

作者信息

Katritsis George, Stavropoulos George, Fragakis Nikolaos

机构信息

Royal Brompton and Harefield Hospital NHS Trust London, UK.

Second Cardiology Department, Aristotle University of Thessaloniki, Hippokration General Hospital Greece.

出版信息

Arrhythm Electrophysiol Rev. 2025 Apr 28;14:e08. doi: 10.15420/aer.2024.34. eCollection 2025.

DOI:10.15420/aer.2024.34
PMID:40342901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060177/
Abstract

Three patients, two women and one man, aged 50.0 ± 9.8 years, who underwent catheter ablation for typical atrioventricular nodal re-entrant tachycardia, were studied during sinus rhythm. An electroanatomic system suitable for high-resolution mapping and recording of both bipolar and unipolar electrograms was used. Recording of potentials from the area of the right inferior extension was feasible in all patients with bipolar signals. Using unipolar signals, the electrical activity of the atrioventricular node was recorded in all patients. This preliminary report supports the existing evidence that the activity of the atrioventricular node and its right inferior extension can be successfully mapped in the electrophysiology lab.

摘要

三名患者,两名女性和一名男性,年龄为50.0±9.8岁,因典型房室结折返性心动过速接受导管消融治疗,在窦性心律期间进行了研究。使用了一种适用于双极和单极电图的高分辨率标测和记录的电解剖系统。在所有具有双极信号的患者中,均可行从右下延伸区域记录电位。使用单极信号,在所有患者中均记录到了房室结的电活动。本初步报告支持现有证据,即房室结及其右下延伸区域的活动可在电生理实验室中成功标测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/ad665d1594d9/aer-14-e08-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/b18a1cb22016/aer-14-e08-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/f360ef8e4e41/aer-14-e08-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/ad665d1594d9/aer-14-e08-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/b18a1cb22016/aer-14-e08-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/f360ef8e4e41/aer-14-e08-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad30/12060177/ad665d1594d9/aer-14-e08-g003.jpg

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本文引用的文献

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High-density mapping of Koch's triangle during sinus rhythm and typical atrioventricular nodal re-entrant tachycardia, integrated with direct recording of atrio-ventricular node structure potential.窦律和典型房室结折返性心动过速时 Koch 三角的高密度标测,结合房室结结构电位的直接记录。
J Cardiovasc Electrophysiol. 2024 Mar;35(3):379-388. doi: 10.1111/jce.16168. Epub 2024 Jan 7.
2
The Atrioventricular Conduction Axis Revisited for the 21st Century.21世纪对房室传导轴的重新审视。
J Cardiovasc Dev Dis. 2023 Nov 19;10(11):471. doi: 10.3390/jcdd10110471.
3
The underrecognized and neglected compact atrioventricular nodal potential: clinical significance for preventing atrioventricular block during so-called slow pathway radiofrequency ablation.
被低估和忽视的房室结隐匿性传导:在所谓的慢径射频消融术期间预防房室传导阻滞的临床意义。
J Interv Card Electrophysiol. 2024 Jan;67(1):165-174. doi: 10.1007/s10840-023-01597-7. Epub 2023 Jun 17.
4
New insights into atrioventricular nodal anatomy, physiology, and immunochemistry: A comprehensive review and a proposed model of the slow-fast atrioventricular nodal reentrant tachycardia circuit in agreement with direct potential recordings in the Koch's triangle area.房室结解剖学、生理学和免疫化学的新见解:全面综述及与科赫三角区直接电位记录一致的快慢型房室结折返性心动过速环路的模型提议
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Quantitative assessment of the fast pathway in atrioventricular nodal reentrant tachycardia.房室结折返性心动过速快径路的定量评估。
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