一例源于左心房顶部的房性心动过速，经肺动脉途径成功消融。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-09-01 Epub Date: 2024-02-06 DOI:10.1111/pace.14937

Wenwu Liu, Qitong Zhang, Xiaoyu Wu, Longzhe Gao, Yong Wei, Shaowen Liu, Genqing Zhou

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引用次数: 0

摘要

一名 60 岁的男性患者因阵发性心房颤动接受导管消融术后，频繁出现房性心动过速（AT）。在复诊过程中，激活图显示最早的激活点位于左心房顶部。在房顶的最早激活点进行多次消融未能终止心房颤动；然而，在肺动脉内相邻的解剖部位进行消融，即使没有记录到明显的近场电位，也成功地消除了心房颤动。

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A case of atrial tachycardia originating from the left atrial roof successfully ablated via the pulmonary artery approach.

A 60-year-old male patient suffered from frequent episodes of atrial tachycardia (AT), after the index procedure of catheter ablation for paroxysmal atrial fibrillation. During the repeat procedure, the activation map showed that the earliest activation site was located at the roof of left atrium. Multiple ablations at the earliest activation site on the roof failed to terminate the AT; however, ablation within the pulmonary artery at an adjacent anatomical site successfully eliminated the AT, even without recording distinct near-field potential.

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来源期刊

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.