房扑的治疗(国外英语资料).docVIP

房扑的治疗(国外英语资料) Size: small, medium, large The treatment of atrial flutter [] published in the 2009-02-24 01:39 label: health knowledge classification: health knowledge of atrial flutter (AF) is an ectopic tachycardia originating from atrium, can be converted to atrial fibrillation. The atrium produces 300 times per minute or regular atrial flutter impulse caused by fast and coordinated atrial contraction, ventricular rhythm (atrioventricular conduction ratio of majority rule is 24:1), a few irregular (atrioventricular ratio irregularity), ventricular rate often between 140-160 / min, was also divided into two types of paroxysmal and persistence, the incidence of atrial fibrillation is less. The type and mechanism of atrial flutter Endocardial activation mapping showed that the measurement and study of stimulation techniques, flutter attack exists excited fissures and entrainment phenomena, so as to determine the pathological mechanism of atrial flutter occurred for reentrant atrial tissue in large, the reentrant circuits are usually located in the right atrium. The key component of the reentrant loop, the slow conduction zone, is often located in the isthmus of the right atrium, between the three cusps, the inferior vena cava, and the coronary sinus. Rarely, the structures of the reentrant ring surround the scar tissue or surgical incision, or are confined to the left atrium. According to the anatomical location of the reentrant loop, can be divided into two kinds of typical atrial flutter and atypical atrial flutter. The reentrant ring is positioned in the right atrium, in accordance with the transmission direction of excited and divided into type I atrial flutter (conduction direction excited for counterclockwise atrial flutter (type II) and exciting conduction direction for clockwise). The ECG showed the II, III and AVF lead atrial flutter wave down, V1 lead to atrial flutter wave; the latter is on the contrary, II, III and AVF lead to atrial flutter wave, V1 wav