房室旁路消融技巧讲解学习.ppt

房室旁路的消融技巧 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 阵发性室上性心动过速(PSVT) 发生率 两种类型以 AVNRT居多 AVRT以左侧房室旁路居多 旁路以逆传参与心动过速居多,表现窄 QRS心动过速 右侧房室旁路隐匿性较少,同时有预激 综合征表现居多 经旁路前传的AVRT表现宽QRS心动过速 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 房室折返性心动过速( AVRT) A Orthodromic tachycardia顺向型AvR B Antidromic tachycardia逆向型ART √√ A ORT utilizing left-sided AP B ORT with LBBB Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 房室折返性心动过速( AVRT) Anteroseptal Left Right freewa 0-60 10-20 Posteroseptal 20-30% Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 旁路体表心电图诊断 根据预激图形特点可以对旁路位置做出大致判 ·VI导联分左右:A型为左侧旁路 B型多为右侧旁路 下壁导联分前后:一致向上:前 致向下:后 胸导联移行规律区分游离壁和间隔 窄QRS心动过速图形根据逆行P波特点可以判 断右或左侧隐匿旁路 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 旁路前传型AVRT laVR MAM心N个M 式人AAM Ev6 M MwM Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 隐匿性左侧旁路AVRT dmIn Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 隐匿性右侧旁路AVRT TT ++4 Cr Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L 关于房颤伴房室旁路前传 预激综合征伴房颤旁路前传:为猝死的 高危患者,消融治疗的强适应症,应明 确告知病人并尽早消融治疗,消除潜在 风队 vI NVVVVV mA中计个计+什十H个什什HH个情w Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dien