Right ventricular outflow tract arrhythmia ablation effective form of expression.docVIP

 PAGE \* MERGEFORMAT 16 Right ventricular outflow tract arrhythmia ablation effective form of expression Of: Linga Feng, Lin Jia election, Jia Li, Ji Kang Ting, Li Yuechun, Yang Penglin [Abstract] Objective: To evaluate the right ventricular outflow tract ventricular arrhythmia (RVOTA) mapping and radiofrequency catheter ablation effective form of targeting. Methods: 167 patients were male and 60 cases RVOTA, female 107 cases, age (47.7 + -15.2 ) (15 ~ 78) years old. which ventricular tachycardia (VT) 20 cases of premature ventricular contractions (PVCs) 147 cases. single puncture the femoral vein, it will demand a single ablation catheter placed in the right ventricular apex, inflow tract or outflow tract, line Electrophysiology, pacing and activation sequence mapping and ablation of activation sequence mapping, pacing and effective form of targeting. Results: Successful ablation of 160 cases a success rate of 95.81%. effective target for activation sequence mapping electrogram intracardiac ECG QRS wave starting point than the earlier (33.41 + -3.23) ms. pacing mapping effectively target the following forms: pacing QRS wave group with spontaneous PVCs at least identical 11-lead; pacing when two kinds of mapping slightly different form of the QRS wave group, in which one kind of spontaneous PVCs and the QRS wave group is identical; VT slightly when two kinds of different forms of the QRS wave group, from mapping of the QRS wave stroke group and spontaneous VT in one kind of identical QRS wave group; pacing mapping with the QRS wave of spontaneous PVCs in the lead group of 12 identical samples excited mapping visible peak, peak-like fragmentation or double potentials. discharge PVCs or VT quickly (lt;10 s) lost or terminated; or PVCs or VT increased duration, frequency, faster, then quickly disappeared. Conclusions: The vast majority of RVOTA activation sequence mapping effective target snacks than the electrogram QRS wave starting early ECG should beg