房室旁路的射频消融学案.pptVIP

房室旁路的射频消融 中国协和医科大学阜外心血管病医院 临床电生理研究室 楚建民 Accessory AV Pathways Symptoms: Range from asymptomatic to sudden cardiac death 症状:无症状到猝死 SVT may be frequent or recurrent SVT频繁发作,表现为心慌、胸闷。 Up to 40% of patients remain asymptomatic 40%无症状 Orthodromic reciprocating tachycardia顺向型 (30% of PSVTs) clinical presentation: Antegrade conduction over AV node房室结前传 Retrograde conduction over accessory pathway旁路逆传 Wolff-Parkinson-White Syndrome心电图表现 The electrocardiogram may show pre-excitation (delta wave)心电图QRS起始部粗钝形成预激波 If accessory pathway not capable of anterogr