房室旁路射频消融精品.pptVIP

房室旁路的射频消融 中国协和医科大学阜外心血管病医院 临床电生理砑究室楚建民  何判定左右侧旁路 心律失常的形成机制 旁路的解剖基础 ■旁路的标测和消融技术  ACcessory Ay Pathways Symptoms: Range from asymptomatic to sudden cardiac death症状:无症状到猝死 SVT may be frequent or recurrent SVT频繁发作,表现为心慌、胸闷 Up to 40% of patients remain asymptomatic 40%无症状 Orthodromic reciprocating tachycardia顺向型 (30% of PSvTs)clinical presentation Antegrade conduction over AV node房室结前传 Retrograde conduction over accessory pathway itx  Wolfi-Parkinson-White Syndrome 亡电图表现 The electrocardiogram may show pre-excitation( delta wave)心电图QRS起始 部粗钝形成预激波 If accessory pathway not capa