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肺动脉瓣起源室性心律失常消融

IdiopathicVentricularArrhythmiasOriginatingFromthePulmonarySinusCuspPrevalence,Electrocardiographic/ElectrophysiologicalCharacteristics,andCatheterAblation

ZiliLiao,MD?;XianzhangZhan,MD?;ShulinWu,MD?;YumeiXue,MD?;XianhongFang,MD?;HongtaoLiao,MD?;HaiDeng,MD?;YuanhongLiang,MD?;WeiWei,MD?;YangLiu,MD?;FeifanOuyang,MD?

JAmCollCardiol.;66(23):-.doi:0.06/j.jacc..09.

BackgroundIdiopathicventriculararrhythmias(VAs)originatingfromthepulmonarysinuscusp(PSC)havenotbeensufficientlyclarified.

ObjectivesThegoalofthisstudywastoinvestigatetheprevalence,electrocardiographiccharacteristics,mapping,andablationofidiopathicVAsarisingfromthePSC.

MethodsDatawereanalyzedfrom28patientsundergoingsuccessfulendocardialablationofidiopathicVAswithaleftbundlebranchblockmorphologyandinferioraxisdeviation.

ResultsTwenty-fourpatientshadVAsoriginatingfromthePSC.Inthefirst7patients,initialablationperformedintherightventricularoutflowtractfailedtoabolishtheclinicalVAsbutproducedasmallchangeintheQRSmorphologyin3patients.Inall24patients,theearliestactivationwaseventuallyidentifiedinthePSC,atwhichasharppotentialwasobservedprecedingtheQRS







































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