Antunes E, Elvas L, Tsakonas K, Simonis F, D'Avila A, Diker E, Andries E, Brugada P
Cardiovascular Research and Teaching Institute Aalst, Cardiovascular Center, O.L.V. Hospital, Belgium.
Rev Port Cardiol. 1995 Feb;14(2):115-21, 103.
The differential diagnosis of tachycardias with a long RP interval is reviewed and the methods of treatment of these arrhythmias catheter ablation are described. Electrocardiographic and electrophysiologic criteria for the correct diagnosis of atrial tachycardia, circus movement tachycardia using retrogradely an accessory pathway with decremental conduction properties and the uncommon form of atrioventricular nodal reentrant tachycardia are discussed. First results of our institution of radiofrequency catheter ablation of atrial tachycardias and circus movement tachycardias using retrogradely an accessory pathway with decremental conduction properties are presented. We concluded that both electrocardiographic and electrophysiologic criteria give a better understanding of the mechanism and arrhythmic site which are important markers for a safe and successful ablation procedure.
本文回顾了长RP间期心动过速的鉴别诊断，并描述了这些心律失常的导管消融治疗方法。讨论了正确诊断房性心动过速、利用具有递减传导特性的逆向附加通路的折返性心动过速以及房室结折返性心动过速罕见形式的心电图和电生理标准。介绍了我们机构对房性心动过速和利用具有递减传导特性的逆向附加通路的折返性心动过速进行射频导管消融的初步结果。我们得出结论，心电图和电生理标准都能更好地理解机制和心律失常部位，这些是安全、成功消融手术的重要标志。
