Stevenson W G, Sager P T, Friedman P L
Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
J Cardiovasc Electrophysiol. 1995 Mar;6(3):201-16. doi: 10.1111/j.1540-8167.1995.tb00771.x.
Many atrial tachycardias, atrial flutter, and postmyocardial infarction ventricular tachycardias are due to reentry through large "macroreentrant" circuits. These circuits can be difficult to define by catheter mapping of the activation sequence. Entrainment techniques allow the relation of a mapping site to the reentrant circuit to be assessed on a site-by-site basis during catheter mapping. Regions of abnormal conduction that are in the reentrant circuit can be distinguished from bystander sites outside the circuit. A mapping site classification to guide catheter ablation is reviewed.
许多房性心动过速、心房扑动以及心肌梗死后室性心动过速是由通过大的“大折返”环路的折返引起的。这些环路通过激活序列的导管标测可能难以界定。拖带技术可在导管标测期间逐个部位地评估标测部位与折返环路的关系。折返环路内的异常传导区域可与环路外的旁观者部位相区分。本文综述了一种用于指导导管消融的标测部位分类方法。