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|本期目录/Table of Contents|

体表心电图对肺静脉起源的房性心律失常中的应用

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第2期
页码:
239-240245
栏目:
综述
出版日期:
2014-01-20

文章信息/Info

Title:
Application of body surface electrocardiogram to atrial arrhythmia originating from pulmonary vein
作者:
林明宽1; 梁柳丹1综述; 刘 浩2审校
(1.海南农垦三亚医院心内科，海南 三亚 572000；2.广西医科大学第一附属医院心内科，广西 南宁 530021)
Author(s):
LIN Ming-kuan1;  LIANG Liu-dan1;  LIU Hao2
(1.Department of Cardiology, Hainan Province Nongken Sanya Hospital, Sanya 572000, Hainan, China; 2.Department of Cardiology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China)
关键词:
肺静脉; 心房颤动; 房性心律失常
Keywords:
pulmonary vein;  atrial fibrillation;  atrial arrhythmias
分类号:
R541.7
DOI:
-
文献标识码:
A
摘要:
心房颤动（AF）是心脏疾病中最常见的心律失常。本文对体表心电图对肺静脉起源的房性心律失常中的应用作一综述。
Abstract:
Atrial fibrillation (AF) is the most common cardiac arrhythmia. Pulmonary vein is an important origin site of electrophysiological activity of atrial potential, which can lead to AF. The mapping of atrial arrhythmia origin from pulmonary vein is to determine the key to success of the AF catheter ablation procedure. Atrial arrhythmia related to electrical activity of thoracic vein can be treated by circumferential pulmonary vein ablation. The isolation of electric structure between the thoracic vein and atria can prevent or halt atrial arrhythmia and then can maintain sinus rhythm. By analyzing the morphological character of atrial arrhythmia P wave, the target of atrial arrhythmia originating from pulmonary veins can be roughly located.

参考文献/References

[1]Jais P,Haissaguerre M,Shah DC,et al.A focal source of atrial fi-brillation treated by discrete radiofrequency ablation[J].Circulation,1997,95(3):572-576.
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[3]Nathan H,Eliakin M.The junction between the left atrium and pulmonary vein:an antomic study of human hearts[J].Circulation,1966,34(3):142-422.
[4]刘 浩,郭继鸿.风湿性心脏病心房颤动起源的心脏电生理研究[J].中国介入心脏病学杂志,2005,13(4):222-224.
[5]Haissaguerre M,Jais P,Shah DC,et al.Spontaneous initiation of atrial fibrillation by ectopic beats originating from pulmonary veins[J].N Engl J Med,1998,339(10):659-666.
[6]Rajawat YS,Gerstenfeld EP,Patel VV,et al.ECG criteria for lo-calizing the pulmonary vein origin of spontaneous atrial premature complexes: validation using intracardiac recordings[J].Pacing Clin Electrophysiol,2004,27(2):182-188.
[7]张 棠,刘 浩,李 希,等.不同胸静脉起搏时体表心电图P波特点[J].中国心脏起搏与心电生理杂志,2012, 26(5):418-421.
[8]Kuo JY,Tat CT,Tsao HM,et al.P wave polarities of an arrhyth-mogenic focus in patients with paroxysmal atrial fibrillation origina-ring from superior vena cava or right superior pulmonary vein[J].J Cardiovasc Electrophysiol,2003,14(4):350-357.
[9]Yamane T,Shah DC,Peng JT,et al.Morphological characteristicsof P waves during selective pulmonary vein pacing[J].J Am Coll Cardiol,2001,38(5):1505-1510.
[10]孙建美,李 琼,卢凤民,等.非折返房性心动过速P波形态的定位诊断[J].天津医药,2012,40(3):244-246.

备注/Memo

备注/Memo:
收稿日期：2013-09-16.
基金项目：广西自然科学项目基金资助(桂科青0542056)；广西医疗卫生重点科研课题项目资助(桂卫重200923)
通讯作者：刘浩，教授，主要从事心脏电生理学研究Email：Liuhaomd@163.com
作者简介：林明宽，主治医师，硕士Email：linmingkuanbye@163.com
更新日期/Last Update: 2014-01-16