Atrial tachycardia electrophysiological characteristics and radiofrequency catheter ablation.docVIP

 PAGE \* MERGEFORMAT 4 Atrial tachycardia electrophysiological characteristics and radiofrequency catheter ablation Radiofrequency catheter melting technique (RFCA) radical living room tachycardia (AT) success rate of over 90%. This paper reports 11 cases originated from different parts of AT atrial electrical characteristics of the main reasons the results of RFCA. An information and 1.1 The clinical data in February 1997 - February 1999 to 11 cases of AT hospitalized patients, 4 males, 7 females, aged 16 - 56 years old, have history of repeated episodes of tachycardia, duration 1 -- 9 years. tachycardia heart rate 130 - 210 / min. 1 case showed chronic persistent tachycardia, Holter monitor showing full AT, physical examination, chest X-ray, echocardiography and other shows a marked widening of the heart, heart function back to decorate, consider tachycardia-induced cardiomyopathy; 1 cases of congenital heart disease Atrial septal defect; the remaining 9 patients without evidence of organic heart disease. 1.2 electrophysiology and radiofrequency ablation disable all anti-arrhythmic drugs ≥ 5 half-lives, 11 cases of AT in 9 cases that can be induced by transesophageal pacing and termination of tachycardia when the esophageal electrocardiogram showed RP ‘gt; P’R. Conventional right internal jugular vein puncture, and both sides of the femoral vein, respectively, placed on high right atrium (HRA), His bundle (HBE), right ventricular apex (RVA) and coronary sinus (CS) catheter. Followed by OK atrial and ventricular procedures and grading incremental stimulation-induced AT, when necessary, intravenous infusion of isoproterenol (4ug / min). After the induced tachycardia was diagnosed according to atrial activation sequence. In the AT when the bulk of catheter ablation electrode with a small standard, or 2 alternately moving the bulk ablation catheter mapping to find the earliest atrial excited points (EAA), to mapping to a local A-wav