|本期目录/Table of Contents|

[1]汤清辉,郭晓刚,孙奇,等.器质性心脏病合并室性心动过速患者电生理特点及导管消融成功率[J].国际心血管病杂志,2023,04:247-251.
　TANG QinghuiGUO XiaogangSUN QiMA JianZHANG Shu.Electrophysiological characteristics and success rate of catheter ablation for ventricular tachycardia in patients with organic heart disease[J].International Journal of Cardiovascular Disease,2023,04:247-251.
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器质性心脏病合并室性心动过速患者电生理特点及导管消融成功率(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2023年04期
页码:
247-251
栏目:
临床研究
出版日期:
2023-07-30

文章信息/Info

Title:
Electrophysiological characteristics and success rate of catheter ablation for ventricular tachycardia in patients with organic heart disease?
作者:
汤清辉; 郭晓刚; 孙奇; 马坚; 张澍
100037 北京，中国医学科学院阜外医院心律失常中心，北京协和医学院中国医学科学院通信作者：马坚， E-mail：majian_fuwai@126.com
Author(s):
TANG Qinghui; GUO Xiaogang; SUN Qi; MA Jian; ZHANG Shu?
Arrhythmia Center, Fuwai Hospital, Chinese Academy of MedicalSciences, Peking Union Medical College, Beijing 100037, China
关键词:
心动过速; 室性; 导管消融术; 器质性心脏病
Keywords:
Ventricular tachycardia;  Radiofrequency ablation;  Organic heart disease
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2023.04.013
文献标识码:
-
摘要:
目的：探讨缺血性心肌病（ICM）与非缺血性心肌病（NICM）合并室性心动过速（室速）患者射频消融电生理特征与预后。方法：连续入选自2019年6月至2021年5月在阜外医院心律失常中心行射频消融治疗的器质性心脏病合并室速患者29例，男性25例，年龄（50.4±15.7）岁，分为ICM组11例和NICM组18例。收集患者的三维电解剖标测及射频消融结果。所有患者均在消融术后每月完成1次随访，接受48h动态心电图检查。计算消融即刻成功率、部分成功率及远期完全成功率。结果：术中15例患者共诱发出43种形态持续性室速
Abstract:
Objective: To investigate electrophysiological characteristics and long term outcome of catheter ablation for ventricular tachycardia (VT) in patients with ischemic (ICM) and non-ischemic cardiomyopathy (NICM).? Methods: A total of 29 patients (ICM, n＝11.

参考文献/References

[1]Sapp JL, Wells GA, Parkash R, et al. Ventricular tachycardia ablation versus escalation of antiarrhythmic drugs[J]. N Engl J Med, 2016, 375(2):111-121.
[2]Marchlinski FE, Haffajee CI, Beshai JF, et al. Long-term success of irrigated radiofrequency catheter ablation of sustained ventricular tachycardia: post-approval THERMOCOOL VT Trial[J]. J Am Coll Cardiol, 2016, 67(6):674-683.
[3]Stevenson WG, Wilber DJ, Natale A, et al. Irrigated radiofrequency catheter ablation guided by electroanatomic mapping for recurrent ventricular tachycardia after myocardial infarction: the multicenter thermocool ventricular tachycardia ablation trial[J]. Circulation, 2008, 118(25):2773-2782.[4]Maury P, Baratto F, Zeppenfeld K, et al. Radio-frequency ablation as primary management of well-tolerated sustained monomorphic ventricular tachycardia in patients with structural heart disease and left ventricular ejection fraction over 30%[J]. Eur Heart J, 2014, 35(22):1479-1485.
[5]Soejima K, Suzuki M, Maisel WH. Catheter ablation in patients with multiple and unstable ventricular tachycardias after myocardial infarction. Short ablation lines guided by reentry circuit isthmuses and sinus rhythm mapping[J]. ACC Curr J Rev, 2002, 11(1):66-67.
[6]Strohmer B, Hwang C. Ablation of postinfarction ventricular tachycardia guided by isolated diastolic potentials[J]. Europace, 2003, 5(4):375-380.
[7]Berruezo A, Fernández-Armenta J, Andreu D, et al. Scar dechanneling: new method for scar-related left ventricular tachycardia substrate ablation[J]. Circ Arrhythm Electrophysiol, 2015, 8(2):326-336.
[8]Vergara P, Trevisi N, Ricco A, et al. Late potentials abolition as an additional technique for reduction of arrhythmia recurrence in scar related ventricular tachycardia ablation[J]. J Cardiovasc Electrophysiol, 2012, 23(6):621-627.
[9]Porta-Sánchez A, Jackson N, Lukac P, et al. Multicenter study of ischemic ventricular tachycardia ablation with decrement-evoked potential (DEEP) mapping with extra stimulus[J]. JACC Clin electrophysiol, 2018, 4(3):307-315.
[10] van Zyl M, Kapa S, Padmanabhan D, et al. Mechanism and outcomes of catheter ablation for ventricular tachycardia in adults with repaired congenital heart disease[J]. Heart Rhythm, 2016, 13(7):1449-1454.
[11] Hsia HH, Callans DJ, Marchlinski FE. Characterization of endocardial electrophysiological substrate in patients with nonischemic cardiomyopathy and monomorphic ventricular tachycardia[J]. Circulation, 2003, 108(6):704-710.
[12] Marchlinski FE, Callans DJ, Gottlieb CD, et al. Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy[J]. Circulation, 2000, 101(11):1288-1296.
[13] 王靖, 郭琦, 李烨, 等. 窦性心律下异常电位消融治疗室性心律失常的远期预后[J]. 中华心律失常学杂志, 2014, 18(4)：300-303.

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81670309）
（收稿：2022-08-19 修回：2023-03-31）
更新日期/Last Update: 2023-08-01