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心房颤动导管消融术对P波形态的影响 被引量：2

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摘要 心房颤动(简称房颤)的导管消融术改变了心房解剖学及电生理学特性,反映在体表心电图上P波形态改变。肺静脉隔离可能造成P波振幅在部分导联增高,时限缩短。线性消融可导致左心耳激动延迟甚至隔离,P波双峰,出现假ε波。房颤导管消融术后三尖瓣环峡部依赖心房扑动的P波形态呈现多样化特点。消融损伤房间传导束时可造成左房隔离,P波变小。
作者 梁翠 董建增 马长生
机构地区 首都医科大学附属北京安贞医院心内科
出处 《中国心脏起搏与心电生理杂志》 北大核心 2010年第4期352-355,共4页 Chinese Journal of Cardiac Pacing and Electrophysiology
关键词 心血管病学 心房颤动 综述 导管消融 射频电流 P波形态
分类号 R541.75 [医药卫生—心血管疾病] R454.1 [医药卫生—治疗学]
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参考文献6

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同被引文献18

  • 1Lemery R,Birnie D,Tang ASL,et al.Normal atrial activation and voltage during sinus rhythm in the human heart:an endocardial and epicardial mapping study in patients with a history of atrial fibrillation[J].J Cardiovasc Electrophysiol,2007,18:402.
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  • 6JANUARY CT, WANN LS, ALPERT JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation : a report of the American Coltege of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society[J]. J Am Coll Cardiol, 2014, 64(21) :el-e76.
  • 7TZOU WS, MARCHLINSKI FE, ZADO ES, et al. Long-term outcome after successful catheter ablation of atrial fibrillation [J]. Circ Arrhythm Electrophysiol, 2010, 3(3) :237-242.
  • 8TEH A W, KALMAN J M, MEDI C, et al. Long-term outcome following successful catheter ablation of atrial tachyeardia originating from the pulmonary veins: absence of late atrial fibrillation [J]. J Cardiovase Electrophysiol, 2010, 21 (7) : 747-750.
  • 9VAN BEEUMEN K, HOUBEN R, TAVERNIER R, et al. Changes in P-wave area and P-wave duration after circumferential pulmonary vein isolation [J]. Europace, 2010, 12(6) : 798-804.
  • 10VEPSALAINEN T, LAAKSO M, LEHTO S, et al. Prolonged P wave duration predicts stroke mortality among type 2 diabetic patients with prevalent non-major macrovascular disease [J]. BMC Cardiovasc Disord, 2014, 14(9): 168-178.

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二级引证文献5

中国心脏起搏与心电生理杂志
2010年 第4期

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