房室结折返性心动过速及其导管消融治疗的进展-内科学(心血管内科)专业论文.docxVIP

英汉缩略语名词对照 英文缩写 英文全称 中文全称 AVNRT Atrioventricular Nodal Reentrant Tachycardia 房室结折返性心动过速 RFCA Radiofrequency Catheter Ablation 射频导管消融 CRYO Cryoablation 冷冻消融 AVB Atrioventricular Block 房室传导阻滞 HA His–Atrial 希氏束心房间期 AH Atrial–His 心房希氏束间期 AVN Atrioventricular Node 房室结 EP Electrophsiology 电生理学 FP Fast Pathway 快通路 SP Slow Pathway 慢通路 1 房室结折返性心动过速及其导管消融治疗的进展 摘 要 房室结折返性心动过速，是临床实践中最为常见的阵发性室上性心 动过速，有其特有的解剖学和电生理特征。其发病人群主要是年轻人， 但是其他年龄阶段的人群也有房室结折返性心动过速的患者。虽然它 有一些治疗方法，但由于导管消融的治疗方式具有成功率高和并发症 发生率低的特点，已经成为了这一常见的心律失常治疗的标准治疗方 法，并被广泛的应用于临床。根据消融的原理不同，房室结折返性心 动过速的导管消融治疗分为射频消融和冷冻消融两种形式。虽然传统 的射频消融术治疗房室结折返性心动过速已经具有很高的成功率，但 是也伴有造成高度房室传导阻滞的风险。而冷冻消融技术作为近十年 来在经皮导管消融治疗心律失常领域兴起的一项新兴技术，则与传统 的射频消融术不同，它在对消融靶点进行形成永久性损伤之前，便可 在进行冷冻标测时对消融靶点进行功能性的评价，确保消融的电生理 安全性，避免了术后房室传导阻滞的风险,弥补了射频消融术的不足。 虽然目前冷冻消融技术在房室结折返性心动过速的治疗领域不如射频 消融广泛，但在未来临床中它可能会得到越来越广泛的使用。 关键词：导管消融；射频消融；冷冻消融；房室结折返性心动过速 2 ATRIOVENTRICULAR NODAL RE-ENTRANT TACHYCARDIA AND ADVANCES OF ITS TREATMENT OF CATHETER ABLATION ABSTRACT In clinical practice, atrioventricularnodal re-entry tachycardia (AVNRT) is the most common paroxymal supraventricular tachycardia with its own anatomical and electrophsiological（EP）properties. Although AVNRT is classically described in young patients,it can be detected at any age. Although there are other treatments, catheter ablation results in high rate of success and a low complication rate, so now catheter ablation is the standard treatment for this arhythmia. Classified by the mechanism of ablation，catheter ablation is composed of radiofrequency ablation (RFCA) and cryoablation （ CRYO. Although the conventional radiofrequency ablation (RFCA) has a high rate of success for this arrhythmia, it also creates the risk of an atrioventricular block. Unlike RF, cryoablation allows a functional assessment of a putative ablation site before the permanent lesion. This abolishes the risk for permanent conduction block. Although in clinical practice the frequency of CRYO is less than RFCA ,but in the future it would be uesd much mor