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| 环肺静脉线性消融术对P波振幅及方向的影响 |
| 赵亮1,张家友1,桂燕萍1,王金普2,李培蕾1,顾兴建1,廖德宁1* |
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| (1. 第二军医大学长征医院心内科,上海 200003;2. 总装备部上海干休所, 上海 201103) |
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| 摘要: |
| 目的观察环肺静脉线性消融术前、术后P波的正负方向及振幅变化,探讨环肺静脉线性消融术对其的影响。方法50例阵发性房颤患者,描记消融术前及术后7 d窦性心律下同步12导联心电图,分析各导联P波方向并测量相对应的振幅,术后定期根据症状及动态心电图随访判断手术成功与否。结果P波正向波振幅在Ⅰ、Ⅱ、Ⅲ、aVF、V5、V6导联术后较术前明显降低(P<0.05)；负向波振幅在aVR、aVF导联术后较术前明显降低(P<0.05)；总振幅在Ⅰ、Ⅱ、aVR、V5、V6导联术后较术前明显降低(P<0.05)。P波极性术后Ⅲ导联 |
| 关键词: 心房颤动 环肺静脉线性消融术 P波振幅 P波极性 |
| DOI：10.3724/SP.J.1008.2011.0836 |
| 投稿时间：2011-01-02修订日期：2011-07-09 |
| 基金项目:上海市卫生局青年科研基金(2009Y061). |
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| Changes in P-wave polarity and amplitude after circumferential pulmonary vein isolation |
| ZHAO Liang1,ZHANG Jia-you1,GUI Yan-ping1,WANG Jin-pu2,LI Pei-lei1,GU Xing-jian1,LIAO De-ning1* |
| (1. Department of Cardiology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;2. Cadre Sanatorium in Shanghai, General Armament Department, Shanghai 201103, China) |
| Abstract: |
| ObjectiveTo observe the influence of circumferential pulmonary vein isolation (CPVI) on P-wave polarity and amplitude and to investigate whether the changes of P-wave are associated with patient outcomes after initial CPVI. MethodsFifty patients with paro |
| Key words: atrial fibrillation circumferential pulmonary vein isolation P-wave amplitude P-wave polarity |
