Circulation:射频消融治疗非典型房室结折返性心动过速

2016-10-18 MedSci MedSci原创

由于非典型的房室结折返性心动过速(AVNRT)的发病率低,关于该疾病的数据很少,最佳消融方法也没有得到很好的评估。我们的研究旨在,评估传统的慢径消融对非典型AVNRT的有效性和安全性。 我们研究了2079例进行慢径消融的AVNRT患者,其中113例为非典型AVNRT,或合并典型和非典型AVNRT,没有其他心律失常。平均年龄48.5±18.1岁,女性占68例。按年龄和性别,匹配典型AVNRT患

由于非典型的房室结折返性心动过速(AVNRT)的发病率低,关于该疾病的数据很少,最佳消融方法也没有得到很好的评估。我们的研究旨在,评估传统的慢径消融对非典型AVNRT的有效性和安全性。

我们研究了2079例进行慢径消融的AVNRT患者,其中113例为非典型AVNRT,或合并典型和非典型AVNRT,没有其他心律失常。平均年龄48.5±18.1岁,女性占68例。按年龄和性别、匹配典型AVNRT患者作为对照组。

非典型和典型AVNRT组患者的射频电流时间没有差异,分别为20.3±12.2 vs 20.8±12.9分钟(P=0.730)和5.9±5.0 vs 5.5±4.5分钟(P=0.650)。非典型AVNRT患者中,110例患者从右室间隔开始慢径消融,3例从左间隔开始。在其他解剖部位,无需额外的消融病灶,也没有遇到房室传导阻滞的情况。消融后3个月内,非典型和典型AVNRT组患者的复发率分别为5.6%(6/108例患者)和1.8%(2/111例患者)。

不管是典型的还是非典型的AVNRT患者,可以选择解剖区域行慢径消融治疗。

原始出处:

Demosthenes G. Katritsis,et al.Catheter Ablation of Atypical Atrioventricular Nodal Reentrant Tachycardia.Circulation.published October 17, 2016

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