心房颤动左心房内线性消融后的非典型性心房扑动.PDFVIP

2004 8 12 4 　Chi J I terve t Cardiol, August 2004, Vol 12, No.4 ·203 · ·· 姚焰　张澍　张奎俊　唐闽　张劲林　王方正　陈新 【】　　(AF)(AAF) 。 　24 (20 , 4 ), 51.2±10.9(22 ～67), 33.9±5.5 (22～ 42)mm。 AF(PAF)19 , AF 5 。 、 , 。 AF AAF。　19 PAF , 18 , 1;5 AF 4 , 1 。 5 AAF, 1 , 2 、, 2 AAF。 7.5±7(1～ 30), 2 , 3 AAF , 2 , 1 4 ∶1 AV 。 　, , 。 【】　;; The atypical atrial flutter post the catheter linear abl ation of atrial fibrillation 　YAO Yan, ZHAN G Shu, TANG Min, et al.Arrhy thmia Center, F uwai Hosp ital of CAMS -PUMC, Bei ing 100037, China 【Abstract】　Objective 　To highlight the atypical atrail flutter (AAF)post left atrial li ear ablatio . Methods　Twe ty-four patie ts (20 me , mea age:51.2±10.9 years)were e rolled, of whom 19 were i freque t paroxysmal atrial fibrillatio (AF)a d 5 i chro ic AF.The mea diameter of left atrium (LA)was 33.9 ±5.5 (22-42)mm.The circumfere tial isolatio wasperformed by e circli g the left-a d right-sided pulmo ary vei s 0.5 to 1 cm from the ostia a dwas guided by o -co tact mappi g system;ablatio li es also were created betwee pulmo ary vei s o the roof of left atrium a d i the mitral isthmus.Results 　AF was termi ated by ablatio i 18 patie ts a d by co versio i 5.AAF was i duced i 5 patie ts a d was termi ated by ablatio i 4 a d burst stimulatio i 1.There were 3 patie tswho had AAF recurre ce duri g a 7.5±7 (1-30)-mo th follow- up a d a ti-arrhythmia age ts were eeded.Conclusion 　This study suggests that the atypical atrial flutter may occur after left atrium li ear ablatio a d the catheter used may play a role i the course. 【Key words】　Atrial fibrillatio ;Li ear ablatio ;Atypical atrial flutter [1] 　　Haissaguerre (pulmo ary vei , PV) (atrial fibrillatio , AF), AF , 24 (20 , 4 ), , 。, 51.2 ±10.9 (22 ～67)。2 ～20 ,