[医药卫生]室上性心动过速2.ppt

一、适应证 房性心律失常 1)房颤和房扑复律时首选（I，A） 2)直流电复律强化药物治疗（IIa） 3)围外科手术期的房颤复律（IIa） 4)房颤+WPW（无血流动力学异常）（I，C） 二、禁忌证 1. 急性心肌梗死或不稳定心绞痛 2. 严重充血性心力衰竭 3. 心室率＜55次/分 4. 二度、三度房室阻滞 5. 低钾血症 6. 有尖端扭转型室速发作史 7. QTc≥440ms 8. 严重肝肾功能损害 AVRT: Location Of Accessory Pathway In EP Lab Precise location of the accessory pathway is determined by the rove catheter. Retrograde conduction over the AP is seen as a small spike between the V and A waves. These Kent potentials are so named because of the original denomination of accessory pathways as Kent bundles, after the investigator Stanley Kent, who first proposed the existence of accessory AV connections. AVRT: WPW: Initiation of AVRT Supraventricular tachycardia can be initiated by a closely coupled premature atrial complex (PAC) blocks in the accessory pathway but conducts through the AV node retrograde conduction via accessory pathway inverted P wave produced by retrograde conduction visible in the inferior ECG leads AVRT: WPW: 12-Lead ECG The P wave produced by retrograde conduction during AV reentry tachycardia is inverted in the inferior ECG leads, since atrial depolarization begins in the lower right atrium and proceeds superiorly and leftward. Rapid retrograde conduction over the accessory pathway results in a short R-P interval, usually less than one-half of the R-R interval. AVRT: Location Of Accessory Pathway In EP Lab Precise location of the accessory pathway is determined by the rove catheter. Retrograde conduction over the AP is seen as a small spike between the V and A waves. These Kent potentials are so named because of the original denomination of accessory pathways as Kent bundles, after the investigator Stanley Kent, who first proposed the existence of accessory AV connections. AVRT: Catheter Ablation Of Accessory Pathway AVRT: Catheter Ablation Of Accessory Pathway Radio frequency ablation of the accessory pathway is often indicated in patients with WPW who are at risk of sudden death due to atrial fibrillati