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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

房室结折返性心动过速消融心律失常
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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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    2016-10-20 jinweidong

    #射频消融#

    0

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    2016-10-20 xiangyuzhou972

    #消融#

    0

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    2016-10-20 fengyi814

    #心动过速#

    0

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    2016-10-20 sjzlzc010

    #非典型#

    0

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    2016-10-20 zhanglin3083

    #射频消融治疗#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1279919, encodeId=5ad712e9919ec, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421644, encodeId=f9871421644af, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1471092, encodeId=748b14e1092f5, content=<a href='/topic/show?id=f06c5090466' target=_blank style='color:#2F92EE;'>#心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50904, encryptionId=f06c5090466, topicName=心动过速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35817104001, createdName=fengyi814, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1492588, encodeId=bf6314925883e, content=<a href='/topic/show?id=9b7c9929363' target=_blank style='color:#2F92EE;'>#非典型#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99293, encryptionId=9b7c9929363, topicName=非典型)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6bb98946820, createdName=sjzlzc010, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531922, encodeId=3faa153192252, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597717, encodeId=e217159e717d3, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Thu Oct 20 07:35:00 CST 2016, time=2016-10-20, status=1, ipAttribution=)]
    2016-10-20 zhishijing

    #消融治疗#

    0

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