1、试论心脏左、右心房 在房颤发生机制中的各自作用,The Potential Role of Left and Right Atriium in Mechanism of Atrial Fibrillation,柳德斌 兰州大学第一医院心外科,Electrical Isolation of Pulmonary Veins,房颤的“多发子波折返”假说,Pulmonary Veins,Multiple Wavelets,Left Atriium,Pulmonary Veins,Multiple Wavelets,Left Atriium,DONG Jian-zeng, et al. Adv Card
2、iovasc Dis, January 2006, Vol, 27, No. 1: 9-12,房颤的“肺静脉驱动伴颤动样传导”假说,Electrical Isolation of Pulmonary Veins,Pulmonary Veins,Left Atriium,Pulmonary Veins,Fibrillatory Condunction,Left Atriium,Origin,Origin,SR,DONG Jian-zeng, et al. Adv Cardiovasc Dis, January 2006, Vol, 27, No. 1: 9-12,Origin,Origin,房颤
3、的“肺静脉-左心房折返”假说,Electrical Isolation of Pulmonary Veins,Pulmonary Veins,Left Atriium,Pulmonary Veins,Fibrillatory Condunction,Left Atriium,SR,PV-LA reentry,DONG Jian-zeng, et al. Adv Cardiovasc Dis, January 2006, Vol, 27, No. 1: 9-12,Surgical Techniques,Open heartEndocardial,Closed heartEpicardial,Bi
4、polar Irrigated RF,162 sec,Pulmonary vein isolation,Pulmonary vein IsolationandConnecting lines,Biatrial(full maze III desing),Left,Right,Left atriumonly,Trigger isolation Substrate modification,SICTRA Long-Term Freedom from AF,Meng,MHI,Filho,Sie,Khargi,Abreu F, et al. Circulation, 2005,112:I-20-25I
5、.,Nitta, T. et al.; J Thorac Cardiovasc Surg 2005;129:291-299,Rright atrial reentry,Copyright 2005 The American Association for Thoracic Surgery,Low-voltage electrograms,Mechanism of atrial fibrillation,双心房波阵移动速率在阵发性及持续性房颤电重构中的作用,Pipin K, et al. Heart Rhythm, 2005, 21s:AB11-6, S22.,总 结,“多发子波折返学说”、“肺静脉局灶驱动伴颤动样传导”和“肺静脉左心房折返”等假说之间相互补充 射频消融迷宫术在瓣膜病伴房颤的外科治疗中的良好效果是上述房颤维持机制的佐证 左、右心房在房颤发展中可能起不同的作用 潜在的决定性因素仍需要不断探索发现,Thanks,
