伴隐匿性希氏束旁道的房室结折返性心动过速射频消融术(附1例报告)  

MAPPING AND ABLATION OF ATRIOVENTRICULAR NODAL REENTRY TACHYCARDIA PATIENT WITH CONCEALED HIS BUNDLE ACCESSORY PATHWAY

作　　者：王均志[1] 姜国湖[2] 范作文[1] 杜日映[1] 孟宪章[1] 陈超[1] 

机构地区：[1]青岛市海慈医院心内科,青岛266033 [2]青岛市海慈医院检验中心,青岛266033

出　　处：《齐鲁医学杂志》2002年第2期141-142,共2页Medical Journal of Qilu

摘　　要：①目的　探讨伴隐匿性希氏束旁道的房室结折返性心动过速的射频消融方法。②方法　射频消融治疗伴隐匿性希氏束旁道的房室结折返性心动过速 1例。③结果　术后随访至今 ,病人未服用任何抗心律失常药物 ,未发生心动过速。④结论　射频消融是治疗药物治疗无效的伴隐匿性希氏束旁道的房室结折返性心动过速的有效手段 ,但术中需要仔细标测与消融 。Objective\ To study the possibility of ablating patients with atrioventricular reentry tachycardia (AVRT) and atrioventricular nodal reentry tachycardia (AVNRT). \ Methods\ Slow pathway and concealed His bundle accessory pathway in one patient with AVRT and AVNRT were ablated.\ Results\ The patient has been keeping sinus rhythm without any tachycardia episodes ever since the day of ablation. \ Conclusion\ The results indicate that under accurate mapping, it is possible to ablate selectively slow pathway and concealed His bundle accessory pathway in patients with AVNRT and AVRT.

关 键 词：隐匿性希氏束旁道 房室结折返性 心动过速 射频消融术 电生理学 

分 类 号：R541.71[医药卫生—心血管疾病] R815[医药卫生—内科学]