心内超声心动图引导导管消融源于右室心尖憩室的高度症状性加速性特发性心律。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-10-01 Epub Date: 2024-03-19 DOI:10.1111/pace.14966

Sen Yang, Sui Li, Shaolong Li, Qiwei Liao, Deyong Long, Mengmeng Li, Chengde He

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引用次数: 0

摘要

心室憩室是心室心肌从心内膜表面向游离壁突出而形成的囊状结构。大多数憩室是肌肉结构，患者通常没有明显的临床症状。然而，憩室可能会因局部心肌结构紊乱而导致心律失常。右室心尖憩室（RVAD）非常罕见，我们报告了一例源于右室心尖憩室的高症状性加速性特发性室性心律（AIVR）病例，该病例在心内超声心动图（ICE）引导下接受了导管消融术，随访期间没有复发。

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Intracardiac echocardiography-guided catheter ablation of highly symptomatic accelerated idioventricular rhythm originating from the right ventricular apical diverticulum.

Ventricular diverticula are saccule-like structures formed by the protrusion of the ventricular myocardium from the endocardial surface towards the free wall. Most diverticula are muscular structures, and patients usually have no obvious clinical symptoms. However, diverticula may contribute to arrhythmogenesis due to localized myocardial structural disturbances. Right ventricular apical diverticulum (RVAD) is very rare, and we report a case of highly symptomatic accelerated idioventricular rhythm (AIVR) originating from the RVAD that underwent intracardiac echocardiography (ICE)-guided catheter ablation with no recurrence during follow-up.

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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.