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起源于胸腔内大静脉的房性异位搏动体表心电图特征 被引量：2

Surface electrocardiographic characteristics of ectopic beats from veins within the chest
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摘要 阵发性心房颤动（房颤）可被局部起源的房性早搏（房早）诱发。这些部位包括肺静脉（PV）、腔静脉、冠状静脉窦、Marshall韧带、界嵴、左心房后壁等。其中90％起源于肺静脉，其次为上腔静脉。由于大多数始发房颤的异位活动起源于特定的解剖部位，可产生特征性的心房激动方式反映为体表心电图L不同的异位心房波（P^＋波）特征，因此依据其体表心电图特征预测致心律失常异位搏动的起源位置对消融治疗有指导意义。本文就起源于心脏大静脉的P^＋波形态特征及其定位准确性给予综述。
作者 洪丽 杨延宗
机构地区 大连医科大学附属第一医院心脏电生理室
出处 《中华心律失常学杂志》 2006年第4期316-318,共3页 Chinese Journal of Cardiac Arrhythmias
关键词 房性异位搏动 体表心电图 心电图特征 大静脉 阵发性心房颤动 MARSHALL韧带 胸腔内 上腔静脉
分类号 R541.75 [医药卫生—心血管疾病]
  • 相关文献

参考文献16

  • 1Haissaguerre M,Jais P,Shah DC,et al.Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins.N Engl J Med,1998,339:659-666.
  • 2Tsai CF,Tai CT,Hsieh MH,et al.Initiation of atrial fibrillation by ectopic beats originating from the superior vena cava:electrophysiological characteristics and results of radiofrequency ablation.Circulation,2000,102:67-74.
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二级参考文献4

  • 1Tsai CF, Tai CT, Hsieh MH, et al. Initiation of atrial fibrillation by ectopic beats originating from the superior vena cava[J]. Circulation,2000,102:67.
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  • 4方全,邓华,程康安,吴宁.上腔静脉起源快速心律失常的电生理特征和射频消融治疗[J].中华心血管病杂志,2002,30(4):206-209. 被引量：7

共引文献1

同被引文献15

  • 1Levy S, Camm AJ, Saksena S, et al. International consensus on nomenclature and classification of atrial fibrillation: a collaborative project of the working group on arrhythmias and the working group of cardiac pacing of the European society of cardiology and the north American society of pacing and eleetrophysiology. J Cardiovase Electrophysiol, 2003, 14 : 443-445.
  • 2Kannel WB, Abbott RD, Savage DD, et al. Epidemioiogic features If chronic atrial fibrillation: the framingham study. N Engl J Med, 1982, 306 : 1018-1025.
  • 3Agrarwat YK, Aronow Ws, Levy JA, ct al. Association of interatrial block wilh development of atrial fibrillation. Am J Cardiol, 2003,91 : 882-886.
  • 4Goyal SB, Spodiek DH. Electromechanical dysfunction of the left atrium associated with interatrial block. Am Heart J, 2001,142 : 823-827.
  • 5Haissaguerre M, Jais P, Shah DC. et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med, 1998, 339 : 659-666.
  • 6Tsai CF, Tat CT, Hsieh MH, et al. Initiation of atrial fibrillation by ectopic beats originating from the superior vena cava: electrophysiological characteristics and results of radiofrequency ablation. Circulation, 2000,102 : 67-74.
  • 7Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrail fibrillation by ectopic beats originating in the puhnonary veins [J]. N Engl Med, 1998, 339(10) :659 -666.
  • 8Pappone C, Augello G, Sala S, et al. A randomized trial of circum-ferential pulmonary vein ablation versus antiarrhythmie drug therapy in paroxysmal atrial fibrillation : the APAF Study [ J ]. J Am Coll Cardiol, 2006, 48 ( 11 ) :2340 - 2347.
  • 9Arruda M, Natale A. Ablation of permanent AF : Adjunctive strategies to pulmonary veins isolation: Targeting AF NEST in sinus rhythm and CFAE in AF [ J ]. J Interv Card Electrophysiol, 2008,23(1):51-57.
  • 10Rostock T, Steven D, Lutomsky B, et al. Atrial Fibrillation Begest Atrial Fibrillation in the Pulmonary Veins: On the Impact of Atrial Fibrillation on the Electrophysiological Propties of Pulmonary Veins in Humans[J]. J Am Coll Cardiol, 2008, 51 (22) :2152 -2161.

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二级引证文献3

中华心律失常学杂志
2006年 第4期

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