多机制心动过速并存(附146例报告)  

Multi mechanism tachycardias exist together

作　　者：许大国[1] 张群林[1] 涂远超[1] 王崇全[1] 党书毅[1] 王家宁[1] 葛永贵[1] 王玮[1] 邢海燕[1] 周荣华[1] 

机构地区：[1]十堰市太和医院心内科,湖北十堰442000

出　　处：《临床心血管病杂志》1999年第1期6-8,共3页Journal of Clinical Cardiology

摘　　要：目的 :了解多机制心动过速 ( MMT)并存的常见类型 ,探讨其诊断思路、诊断标准及射频消融术 ( RFCA)对策。方法 :收集国内部分文献报道的 134例 ,结合本院心内电生理和 RFCA中发现的 12例 MMT并存 ,按文献报道的方法进行分型。结果 :14 6例 MMT并存分为 11型。结论 :无论术前诊断是一种还是多种心动过速 ,均应先消融典型、常见、易发的那一种类型 ,待消融完一种后再行完整的电生理检查。Objective:To understand the common types of multi mechanism tachycardias(MMT),explore the diagnostic methods and criterias and the strategy of radiofrequency current catheter ablation (RFCA) of MMT.Method:One hundred and thirty four patients with MMT which were reported from a part of literatures in China and 12 patients with MMT which were discovered in our hospital with the study of intracardiac electrophysiology and RFCA were categorized according to the methods reported from documents.Result:One hundred and forty six patients with MMT were devided into 11 types.Conclusion:Whether or not one type of tachycardia or multiple types of tachycardia were diagnosed before RFCA,the typical,ordinary,easily induced types of tachycardia should be ablated firstly,the full cardiac electrophysiology study was performed after the first type of tachycardia was ablated.

关 键 词：多机制 心动过速 MMT 射频消融术 心内电生理 

分 类 号：R541.71[医药卫生—心血管疾病]