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Evaluation of AVNRT & AVRT by Different Criteria: Old & New
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作者 Abdul Hamid Tahmina Alam Sonali +3 位作者 Rizwan Rehan Pijous Biswas Subas Caandro Datta Asif Zaman 《World Journal of Cardiovascular Surgery》 2024年第7期95-106,共12页
The two most frequent causes of paroxysmal SVT are atrioventricular tachycardia (AVRT) and atrioventricular nodal re-entrant tachycardia (AVNRT). The purpose of this study was to assess the diagnostic efficacy of trad... The two most frequent causes of paroxysmal SVT are atrioventricular tachycardia (AVRT) and atrioventricular nodal re-entrant tachycardia (AVNRT). The purpose of this study was to assess the diagnostic efficacy of traditional and newly proposed ECG criteria in the identification of Avnrt and Avrt. Aim of the Study: The aim of this study was to evaluate Atrioventricular Nodal Reentrant Tachycardia (AVNRT) and Atrioventricular Re-entrant Tachycardia (AVRT) using both traditional and novel criteria. Methods: This prospective observational study was conducted at the Electrophysiology Unit, Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD) in Dhaka, from February 2019 to January 2020. A total of 62 patients with Supraventricular Tachycardia (SVT) undergoing electrophysiology study (EPS) were included. Standard ECG criteria were applied for the differential diagnosis, and electrophysiological diagnoses were made using established criteria. Statistical analysis, including descriptive statistics and appropriate tests, was performed using SPSS 23.0. Result: In our study of 62 patients with Supraventricular Tachycardia (SVT), we found that 66.1% had AVNRT and 33.9% had AVRT. The mean age in AVNRT was higher than AVRT (41.3 ± 9.7 vs. 38.5 ± 14.3, p = 0.36) with statistically no significant difference, with similar gender distribution between AVNRT and AVRT groups. Classical AVNRT criteria were present in 30.6% of patients, and 45.2% showed a Pseudo R' wave in aVR. Additionally, 30.6% had an RP interval ≥100ms, more prevalent in AVRT patients (66.7%). Conclusion: Integrating traditional and novel criteria, including lead aVR analysis, enhances the electrocardiographic diagnosis of AVNRT and AVRT, offering a pathway to refined patient care. 展开更多
关键词 SVT (Supraventricular Tachycardia) avnrt (Atrioventricular Nodal Re-Entrant Tachycardia) AVRT (Atrioventricular Re-Entrant Tachycardia) ECG Criteria Electrophysiology
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体表心电图对AVRT及AVNRT的诊断价值和方法 被引量:3
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作者 熊恩来 丁水印 马坚 《临床心电学杂志》 1999年第3期142-144,共3页
目的 通过对 66 例房室折返性心动过速及房室结折返性心动过速( A V R T 及 A V N R T)体表心电图与心内电生理检查结果对比分析,总结心动过速时体表心电图逆传 P波( P- )使 Q R S波形改变的规律,从而利于用体... 目的 通过对 66 例房室折返性心动过速及房室结折返性心动过速( A V R T 及 A V N R T)体表心电图与心内电生理检查结果对比分析,总结心动过速时体表心电图逆传 P波( P- )使 Q R S波形改变的规律,从而利于用体表心电图对 A V N R T 及 A V R T 鉴别诊断。方法 根据心动过速的 P- 重叠于 Q R S波部位不同,产生与心动过速发作前不同的 Q R S形态改变,即以下类型:a) Q R S形态不变,但其后 S T- T 上可见明显逆 P;b) Q R S形态不变;c) Q R S波终末部改变;d) Q R S波起始部改变。结果 经心内电生理检查证实,利用体表心电图诊断 A V R T 及 A V N R T 的敏感性和持异性分别为 96% 及93% 。结论 体表心电图能区分绝大多数 A V R T 及 A V N R T,其可作为进行射频消融术前的筛选诊断,并对临床选择药物终止心动过速有指导意义。 展开更多
关键词 心电图 房室折返性 房室结折返性 心动过速
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ST段改变在窄QRS波AVRT与AVNRT鉴别诊断及旁道初步定位中的作用
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作者 江建军 单江 《浙江医学》 CAS 2003年第10期588-590,597,共4页
目的 观察ST段改变在窄QRS波房室折返性心动过速(AVRT)与房室结折返性心动过速(AVNRT)鉴别诊断及旁道初步定位中的作用。方法 141例窄QRS波心动过速患者均接受心内电生理检查 ,并经射频消融治疗获得成功 ,分析其窄QRS波心动过速发作时体... 目的 观察ST段改变在窄QRS波房室折返性心动过速(AVRT)与房室结折返性心动过速(AVNRT)鉴别诊断及旁道初步定位中的作用。方法 141例窄QRS波心动过速患者均接受心内电生理检查 ,并经射频消融治疗获得成功 ,分析其窄QRS波心动过速发作时体表12导联心电图之ST段压低程度及其持续时间。结果 141例窄QRS波心动过速患者中AVNRT54例 ,隐匿性旁道介导之AVRT为87例。87例AVRT中ST段压低≥0.2mV为51例(58.62%) ,54例AVNRT中为28例(51.85%) ,差别无显著性意义(P>0.05)。但87例AVRT中ST段压低≥0.2mV且持续时间≥0.12s为36例(41.83 %) ,54例AVNRT中仅11例(20.37%) ,差别有显著性意义(P<0.05)。66例左侧旁道介导的AVRT中 ,共31例 (46.97 % )达此标准 ,21例右侧旁道仅5例 (23.81% )达此标准 ,两组的差别有显著性意义 (P<0.01)。 结论 ST段压低≥0.2mV且持续时间≥0.12s在窄QRS波心动过速时对鉴别AVRT与AVNRT及旁道的初步定位具有重要价值。 展开更多
关键词 ST段改变 窄QRS波 AVRT avnrt 鉴别诊断 房室折返性心动过速 房室结折返性心动过速
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AVNRT与WPW综合征患者的性别分布及房室传导特性
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作者 陈萍 王张生 朱文青 《福建医药杂志》 CAS 2010年第2期8-10,共3页
目的探讨显性或隐性WPW综合征患者及房室结折返性心动过速(AVNRT)的性别分布及房室传导特性。方法分析经射频消融的255例AVNRT患者,267例显性、160例隐匿性WPW综合征患者的临床特点及各项电生理指标。结果显性WPW综合征中男性多见(68%)... 目的探讨显性或隐性WPW综合征患者及房室结折返性心动过速(AVNRT)的性别分布及房室传导特性。方法分析经射频消融的255例AVNRT患者,267例显性、160例隐匿性WPW综合征患者的临床特点及各项电生理指标。结果显性WPW综合征中男性多见(68%),隐匿性WPW综合征中无性别差异;AVN-RT患者中女性多见(69%)。消融后30min,显性WPW综合征患者的PR间期(164±26)ms及AH间期(86±20)ms较隐匿性WPW综合征患者[(146±20)ms、(75±15)ms]显著延长(P<0.0001);AVNRT患者消融前的PR间期(144±20)ms及AH间期(75±14)ms短于消融前的隐匿性WPW综合征患者[(150±22)ms、(80±17)ms](P<0.05)及消融后的显性WPW综合征患者[(164±26)ms、(86±20)ms](P<0.0001)。随访中,AVNRT患者的PR间期(144±20)ms也短于显性[(162±25)ms,P<0.0001]或隐性WPW综合征患者[(150±20)ms,P<0.05];AVNRT患者的室房阻滞周长比显性或隐性WPW综合征患者明显缩短。各组经过年龄配对,男女之间PR间期明显不同[(159±22)msvs(150±23)ms,P<0.0001]。结论AVNRT及WPW各组之间存在性别分布不同,各组之间房室传导特性及房室传导的年龄差异可能解释性别分布的不同。 展开更多
关键词 avnrt WPW综合征 房室结 传导 性别
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房室脱节与心室夺获交替出现伴AVNRT1例分析
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作者 王岚 柳畅华 +1 位作者 喻青青 喻为人 《中国现代药物应用》 2009年第17期141-141,共1页
关键词 房室脱节 心室 avnrt1 心电图 临床
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血清钙离子浓度对DAVNP伴AVNRT电生理特性的影响
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作者 李裕舒 《中国心血管杂志》 1998年第1期10-12,共3页
本文观察了应用葡萄糖酸钙静脉注射提高血清[Ca^(2+)]后,对房室结双径路(DAVNP)伴房室结折返性心动过速(AVNRT)的影响.结果示血清钙离子浓度从1.13±0.15mmol/L提高到1.32±0.13mmol/L,(P<0.02).使快径路有效不应期从365... 本文观察了应用葡萄糖酸钙静脉注射提高血清[Ca^(2+)]后,对房室结双径路(DAVNP)伴房室结折返性心动过速(AVNRT)的影响.结果示血清钙离子浓度从1.13±0.15mmol/L提高到1.32±0.13mmol/L,(P<0.02).使快径路有效不应期从365±45ms延长到400±35ms,P<0.01,有极显著差异.对慢径路不应期和快、慢径路传导速度均无明显影响.使传导曲线“中断”表现更明显,对AVNRT折返窗有显著增宽作用,P<0.01,使AVNRT更易诱发.同时观察了血清[Ca^(2+)]升高对正常房室结的影响,发现血清[Ca^(2+)]升高时,慢径路电生理特性与房室结相似,受影响不明显,而快径路有效不应期明显延长,与房室结电生理特性有明显区别.本文认为通过提高血清[Ca^(2+)]的方法对提高房室结双径路的诊断准确率具有较高价值. 展开更多
关键词 房室结双径路 心动过速 avnrt 钙离子 电生理
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Hyper Catastrophe on 4-Dimensional Canards
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作者 Kiyoyuki Tchizawa Shuya Kanagawa 《Advances in Pure Mathematics》 2024年第4期196-203,共8页
When discovering the potential of canards flying in 4-dimensional slow-fast system with a bifurcation parameter, the key notion “symmetry” plays an important role. It is of one parameter on slow vector field. Then, ... When discovering the potential of canards flying in 4-dimensional slow-fast system with a bifurcation parameter, the key notion “symmetry” plays an important role. It is of one parameter on slow vector field. Then, it should be determined to introduce parameters to all slow/fast vectors. It is, however, there might be no way to explore for another potential in this system, because the geometrical structure is quite different from the system with one parameter. Even in this system, the “symmetry” is also useful to obtain the potentials classified by R. Thom. In this paper, via the coordinates changing, the possible way to explore for the potential will be shown. As it is analyzed on “hyper finite time line”, or done by using “non-standard analysis”, it is called “Hyper Catastrophe”. In the slow-fast system which includes a very small parameter , it is difficult to do precise analysis. Thus, it is useful to get the orbits as a singular limit. When trying to do simulations, it is also faced with difficulty due to singularity. Using very small time intervals corresponding small , we shall overcome the difficulty, because the difference equation on the small time interval adopts the standard differential equation. These small intervals are defined on hyper finite number N, which is nonstandard. As and the intervals are linked to use 1/N, the simulation should be done exactly. 展开更多
关键词 Canards Flying 4-Dimensional slow-fast System Hyper Catastrophe
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AVNRT慢径消融中出现中等频率交界性心动过速的临床意义
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作者 谢伟 袁争百 +2 位作者 苏振琪 韩宏华 陈大顺 《皖南医学院学报》 CAS 2013年第3期235-236,共2页
目的:探讨射频消融房室结折返性心动过速(atroi-ventricular nodal reentrant tarchycardia,AVNRT)慢径时出现中等频率交界性心动过速的临床意义。方法:回顾分析62例2010年1月~2012年3月本院成功消融AVNRT患者临床资料。其中男性22例,... 目的:探讨射频消融房室结折返性心动过速(atroi-ventricular nodal reentrant tarchycardia,AVNRT)慢径时出现中等频率交界性心动过速的临床意义。方法:回顾分析62例2010年1月~2012年3月本院成功消融AVNRT患者临床资料。其中男性22例,女性40例,年龄16~68岁。按消融过程中出现的结区反应特点分为A组[消融中出现持续中等频率交界性心动过速(100~140 bpm)]和B组(消融中出现间断性交界区心律即窦性心律与交界心律交替出现)。并比较两组手术成功率、AV逆传阻滞现象、放电次数、放电部位数、累积放电时间及术后复发情况。结果:所有病例均手术成功,24例(39%)术中出现中等频率的交界性心动过速,其中2例一过性室房逆传阻止(VAB),术中平均放电时间(112.1±21.2)s、放电次数2.6±2.4、放电部位2.4±2.0,术后无1例复发。38例(61%)手术中出现间断性交界区心律,其中1例一过性VAB,术中平均放电时间(149.2±26.7)s、放电次数5.2±3.4、放电部位3.0±.2.2,1例首次消融后复发。与B组比较,A组患者累积放电时间、次数均少于后者;手术成功率、放电部位、AVB、VAB发生率两组间无差异。结论:在AVNRT慢径消融过程中出现中等频率交界性心动过速为安全且有效的靶点标志。 展开更多
关键词 房室结折返性行动过速 慢径消融 中频交界性心动过速
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AVNRT射频消融后复发3例分析
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作者 王岩 《现代中西医结合杂志》 CAS 2002年第3期252-253,共2页
关键词 avnrt 房室心动过速 射频消融治疗 复发 心律失常
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快慢型房室结双径路负责的室上速(F—SAVNRT)的临床电生理特征
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作者 王培宁 杨新春 +4 位作者 陈明 张建军 汪爱虎 杨舒玲 薛永利 《中华临床医学杂志》 2004年第10期28-28,共1页
1 临床资料 房室结双径路负责的室上速(AVNRT)是最常见的阵发性室上速之一。快慢型AVNRT少见,约占AVNRT的5%,我院从2002年1月1日.2004年2月15日,共有60名连续AVNRT患者行射频消融术治疗,有2例F—S AVN-RT,占3.33%。其中男女各... 1 临床资料 房室结双径路负责的室上速(AVNRT)是最常见的阵发性室上速之一。快慢型AVNRT少见,约占AVNRT的5%,我院从2002年1月1日.2004年2月15日,共有60名连续AVNRT患者行射频消融术治疗,有2例F—S AVN-RT,占3.33%。其中男女各1例,年龄分别是28岁和41岁,其共同特点是:有阵发性心悸病史,“突发突止”为特征。室上速(SVT)发作时体表心电图:Ⅱ,Ⅲ,avF,P波倒置。RP′>P′R。心内电生理检查:心室刺激极易诱发。电生理特征如附表。 展开更多
关键词 avnrt 室上速 房室结双径路 临床电生理 治疗 心室 常见 倒置 患者
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Approximate analytical solution in slow-fast system based on modified multi-scale method 被引量:4
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作者 Xianghong LI Jianhua TANG +1 位作者 Yanli WANG Yongjun SHEN 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2020年第4期605-622,共18页
A simple,yet accurate modi?ed multi-scale method(MMSM)for an approximately analytical solution in nonlinear oscillators with two time scales under forced harmonic excitation is proposed.This method depends on the clas... A simple,yet accurate modi?ed multi-scale method(MMSM)for an approximately analytical solution in nonlinear oscillators with two time scales under forced harmonic excitation is proposed.This method depends on the classical multi-scale method(MSM)and the method of variation of parameters.Assuming that the forced excitation is a constant,one could easily obtain the approximate analytical solution of the simpli?ed system based on the traditional MSM.Then,this solution for the oscillator under forced harmonic excitation could be established after replacing the harmonic excitation by the constant excitation.To certify the correctness and precision of the proposed analytical method,the van der Pol system with two scales subject to slowly periodic excitation is investigated;this system presents rich dynamical phenomena such as spiking(SP),spiking-quiescence(SP-QS),and quiescence(QS)responses.The approximate analytical expressions of the three types of responses are given by the MMSM,and it can be found that the precision of the new analytical method is higher than that of the classical MSM and better than that of the harmonic balance method(HBM).The results obtained by the present method are considerably better than those obtained by traditional methods,quantitatively and qualitatively,particularly when the excitation frequency is far less than the natural frequency of the system. 展开更多
关键词 modified multi-scale method(MMSM) slow-fast system multi-scale method(MSM) van der Pol system
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Stability and oscillations in a slow-fast flexible joint system with transformation delay 被引量:8
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作者 Shan-Ying Jiang Jian Xu Yao Yan 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2014年第5期727-738,共12页
Flexible joints are usually used to transfer velocities in robot systems and may lead to delays in motion transformation due to joint flexibility. In this paper, a linkrotor structure connected by a flexible joint or ... Flexible joints are usually used to transfer velocities in robot systems and may lead to delays in motion transformation due to joint flexibility. In this paper, a linkrotor structure connected by a flexible joint or shaft is firstly modeled to be a slow-fast delayed system when moment of inertia of the lightweight link is far less than that of the heavy rotor. To analyze the stability and oscillations of the slowfast system, the geometric singular perturbation method is extended, with both slow and fast manifolds expressed analytically. The stability of the slow manifold is investigated and critical boundaries are obtained to divide the stable and the unstable regions. To study effects of the transformation delay on the stability and oscillations of the link, two quantitatively different driving forces derived from the negative feedback of the link are considered. The results show that one of these two typical driving forces may drive the link to exhibit a stable state and the other kind of driving force may induce a relaxation oscillation for a very small delay. However, the link loses stability and undergoes regular periodic and bursting oscillation when the transformation delay is large. Basically, a very small delay does not affect the stability of the slow manifold but a large delay affects substantially. 展开更多
关键词 Flexible joint - slow-fast system - Transforma- tion delay Geometric singular perturbation
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Modified slow-fast analysis method for slow-fast dynamical systems with two scales in frequency domain 被引量:2
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作者 Zhengdi Zhang Zhangyao Chen Qinsheng Bi 《Theoretical & Applied Mechanics Letters》 CAS CSCD 2019年第6期358-362,共5页
A modified slow-fast analysis method is presented for the periodically excited non-autonomous dynamical system with an order gap between the exciting frequency and the natural frequency.By regarding the exciting term ... A modified slow-fast analysis method is presented for the periodically excited non-autonomous dynamical system with an order gap between the exciting frequency and the natural frequency.By regarding the exciting term as a slow-varying parameter,a generalized autonomous fast subsystem can be defined,the equilibrium branches as well as the bifurcations of which can be employed to account for the mechanism of the bursting oscillations by combining the transformed phase portrait introduced.As an example,a typical periodically excited Hartley model is used to demonstrate the validness of the method,in which the exciting frequency is far less than the natural frequency.The equilibrium branches and their bifurcations of the fast subsystem with the variation of the slow-varying parameter are presented.Bursting oscillations for two typical cases are considered,which reveals that,fold bifurcation may cause the the trajectory to jump between different equilibrium branches,while Hopf bifurcation may cause the trajectory to oscillate around the stable limit cycle. 展开更多
关键词 TWO scales in frequency domain MODIFIED slow-fast analysis METHOD BURSTING oscillations Bifurcation mechanism
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Bursting oscillation in CO oxidation with small excitation and the enveloping slow-fast analysis method 被引量:2
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作者 李向红 毕勤胜 《Chinese Physics B》 SCIE EI CAS CSCD 2012年第6期100-106,共7页
Based on the traditional scheme for a nonlinear system with multiple time scales, the enveloping slow-fast analysis method is developed in the paper, which can be employed to investigate the dynamics of nonlinear fiel... Based on the traditional scheme for a nonlinear system with multiple time scales, the enveloping slow-fast analysis method is developed in the paper, which can be employed to investigate the dynamics of nonlinear fields with multiple time scales with periodic excitation. Upon using the method, the behaviors of the kinetic model of CO oxidation on the platinum group metals have been explored in detail. Two typicM bursting phenomena such as Fold/Fold/Hopf bursting and Fold/Fold bursting, are presented, the bifurcation mechanisms of which have been obtained. Furthermore, the dynamic difference between the two cases corresponding to relatively large and small perturbation frequencies, respectively, has been presented, which can be used to describe the influence of the frequencies involving in the evolution on the bursting behaviors in the system. 展开更多
关键词 CO oxidation bursting phenomenon bifurcation mechanism enveloping slow-fast anal-ysis
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浅谈心前区叩击终止AVRT和AVNRT的作用
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作者 舒立民 《临床荟萃》 CAS 1999年第14期639-640,共2页
众所周知,心前区叩击术是80年代初由美国心脏病学会推荐作为心脏复苏中终止室颤和室速的第一措施,由于其方法简便易行,因而在临床上和院外急救中得到了广泛的应用,笔者在近二年来的临床工作中将其用于终止门诊和住院患者的房室折返性心... 众所周知,心前区叩击术是80年代初由美国心脏病学会推荐作为心脏复苏中终止室颤和室速的第一措施,由于其方法简便易行,因而在临床上和院外急救中得到了广泛的应用,笔者在近二年来的临床工作中将其用于终止门诊和住院患者的房室折返性心动过速(AVRT)和房室结折返性心动过速(AVNRT)共20次,取得了较好的效果,现报告如下。1 临床资料 共16例室上速(SVT)患者,其中男性10例,女性6例,均已行食道电生理检查,房室旁道伴AVRT 9例,房室结双径伴AVNRT 7例,年龄16~56岁,室上速发作史5~20年不等。 展开更多
关键词 以前区叩击术 心动过速 AVRT avnrt 治疗
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AVNRT治疗最新进展的启示
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作者 甘辉立 《医学与哲学》 1990年第6期54-54,共1页
房室结折返性心动过速(Atrial Veutricular Nodal Reentry Tarchycardia, AVNRT)占室上性心动过速的60%。其传统的治疗方法有:(1)刺激迷走神经,包括有按压颈动脉窦或眼球、乏氏动作、潜水反射、升压药反射等;(2)药物治疗,包括洋地黄、... 房室结折返性心动过速(Atrial Veutricular Nodal Reentry Tarchycardia, AVNRT)占室上性心动过速的60%。其传统的治疗方法有:(1)刺激迷走神经,包括有按压颈动脉窦或眼球、乏氏动作、潜水反射、升压药反射等;(2)药物治疗,包括洋地黄、维拉帕米、普奈洛尔及其他Ⅰ类、Ⅲ类抗心律失常药物;(3)同步电复律治疗;(4)人工心脏起搏。 展开更多
关键词 avnrt 心动过速
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Time-Delay Effects on Synchronization of Coupled Slow-Fast Systems
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作者 Yuanguang Zheng Jianjian Zeng 《Journal of Applied Mathematics and Physics》 2021年第4期635-647,共13页
Time-delay effects on synchronization features of delay-coupled slow-fast van der Pol systems are investigated in the present paper. The synchronization mechanism of “slow-manifold adjustment” is firstly described o... Time-delay effects on synchronization features of delay-coupled slow-fast van der Pol systems are investigated in the present paper. The synchronization mechanism of “slow-manifold adjustment” is firstly described on the basis of geometric singular perturbation theory. Then, the impact of time delay on the structure of the slow manifold of synchronized system is obtained by using the method of stability switch, and thus, time-delay effects on synchronization features are stated. It is shown the time delay cannot qualitatively affect the synchronization mechanism, however, it can result in the drift of the optimal coupling strength. 展开更多
关键词 SYNCHRONIZATION slow-fast System TIME-DELAY Geometric Singular Perturbation Theory
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快-慢型AVNRT伴二度逆传阻滞1例
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作者 冉秀英 《实用心电学杂志》 2007年第4期298-298,共1页
关键词 avnrt AVR导联 QRS波群 阻滞 逆传 慢型 阵发性心悸 心律失常
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房室结折返性心动过速(AVNRT)的心电图特征与诊断
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《疑难病杂志》 CAS 2007年第5期303-303,共1页
关键词 房室结折返性心动过速 心电图特征 窄QRS波心动过速 avnrt AVF导联 诊断 房室结双径路 自主神经系统
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Canards Flying on Bifurcation
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作者 Shuya Kanagawa Kiyoyuki Tchizawa 《Advances in Pure Mathematics》 2023年第6期412-424,共13页
There exists a property “structural stability” for “4-dimensional canards” which is a singular-limit solution in a slow-fast system with a bifurcation parameter. It means that the system includes the possibility t... There exists a property “structural stability” for “4-dimensional canards” which is a singular-limit solution in a slow-fast system with a bifurcation parameter. It means that the system includes the possibility to have some critical values on the bifurcation parameter. Corresponding to these values, the pseudo-singular point, which is a singular point in the time-scaled-reduced system should be changed to another one. Then, the canards may fly to another pseudo-singular point, if possible. Can the canards fly? The structural stability gives the possibility for the canards flying. The precise reasons why happen are described in this paper. 展开更多
关键词 Canard Solution slow-fast System Nonstandard Analysis Hilbert’s 16th Problem Brownian Motion Stochastic Differential Equation
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