以左后分支传导阻滞为消融终点在窦性心律下消融特发性左心室性心动过速.pdfVIP

·678· 以左后分支传导阻滞为消融终点在窦性心律下 消融特发性左心室性心动过速 路军1 彭景添1 王梦洪1 吴友平1 张智亮1 [摘要] 目的：评价以左后分支传导阻滞为消融终点在窭性心律下射频消融特发性左心室室性心动过速 (1LVT)中的可行性。方法：8例患者均有阵发性心悸史，心动过速时心电图表现为右柬支阻滞伴心电轴左偏。 在窦性心律下于左侧室间隔前、中1／3处以P电位与QRS电位融合的部位作为消融靶点，当体表心电图出现左 后分支传导阻滞时，作为消融终点。结果：8例患者均在窦性心律下消融，当体表心电图出现左后分支传导阻滞， 的、有效的，以体表心电图出现左后分支传导阻滞为消融终点是可靠的。 [关键词]心律失常；射频导管消融；室性心动过速；左后分支传导阻滞 [中图分类号]R541．7[文献标志码]A[文章编号]1001—1439(2010)09—0678—03 Left fascicularblockasan ofablationfor posterior endpoint idiopathic leftventricular sinus tachycardiaduringrhythm PENG WANG WU ZHANG LL，Jun Jingtian MenghongYouping Zhiliang of First of (DepartmentCardiology，theHospitalNanchang China) author：LUJun，Email：zhsljl993@126．tom Corresponding Abstract evaluatethemethodofcatheterablationofleft sinus 0bjective：To posterior fascicle(LPF)during totreatment leftventricular was rhythm idiopathic in8 whohadlLVTwithsurfaceECG of bundlebranch performedpatients patternright tionandleftaxisdeviationandhadno heartdisease．Weablatedattheinferioror organic apicalmid—apicalseptum sinus wherea fusedPbeforeQRS was theleft faseicular during rhythm sharp complexmapped．Whenposterior blockin ECGwas hadachievedtheablation of8 ILVTwere body observed，we endpoint．Result：Allpatients，the ablatedattheinferioror theSR．Whentheleft fascicularblockin apicalmid-apicalseptumduring posterior surface ECG cannotbeindu