射频消融在室性心动过速治疗中的应用  

Successful radiofrequency ablation of ventricular tachycardia.

作　　者：韩明华[1] 郭涛[1] 肖践明[1] 赵玲[1] 刘中梅[1] 李淑敏[1] 吴昌元[1] 

机构地区：[1]昆明医学院第一附属医院心内科,云南昆明650032

出　　处：《云南医药》2000年第4期308-309,共2页Medicine and Pharmacy of Yunnan

摘　　要：目的　评价心内导管起搏标测和射频消融治疗室速 (VT)的效果。方法　 8例VT心内电生理检查确诊VT后 ,根据VT发作时的 12导联心电图分析判断VT的来源 ,然后插入消融导管起搏标测 ,起搏时的 12导联心电图至少有 11导与VT自然发作图相同为消融靶点 ,进行消融。结果　全部消融成功 ,无并发症发生 ,随访 3～ 12月无复发。结论　起搏标测和导管射频消融是根治室速的理想方法。To assess the effectiveness of radiofrequency ablation and for treatment of ventricular tachycardia. Method Electrophysiologic studies were performed in 8 patients(male 7, female 1, age 16-56) with arrhythmias and all patients were diagnosed as VT. When the 12-lead ECG 5 from a paced site exhibited the same QRS configuration as that seen during VT tachycardia at least 11 leads, this site was the target site that should be ablated. Result The RF ablation was successful in 8 patienls. There was no complication. After 3-12 months follow-up, VT recurred in no patient. Conclusion The RF ablation and the pace-mapping are very effective procedures for treatment of VT.

关 键 词：起搏标测 射频消融术 室性心动过速 VT 

分 类 号：R541.710.5[医药卫生—心血管疾病]