对预激综思合征的最新认识_孙英贤.pptVIP

对预激综合征的最新认识 中国医科大学 孙英贤 1.对心房与心室间激动传导途径认识的发展 2. 预激综合征 1).房室旁路 普通房室旁路 心外膜旁路 二. 预激综合征 2. LGL 二. 预激综合征 3. Mahaim * His Kent Epicardial Accessory Pathways 171 Patients 9 99 1 11 15 (9%) 3 18 120 (70%) 36 (21%) 3 27 Diverticula Narrow Neck Wide Neck Septal to MCV(5/27) Lateral to MCV(22/27) CS CS CS CS MCV D D D D MCV CS MCV SCV Enlargement of SCV, MCV and CS 15/171 (9%) Pts Bulbous Enlargement of MCV or CS (3 Patients) Fosiform Enlargement of SCV or MCV (12 pts ) LAO Atrial Diastole Atrial systole CS MCV PV A. Before Ablation B. After Ablation