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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Recurrence of RVOT PVCs with a marked shift of its exit point. Gradual elimination of arrhythmogenic focus by multisite approach
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Recurrence of RVOT PVCs with a marked shift of its exit point. Gradual elimination of arrhythmogenic focus by multisite approach

机译:RVOT PVC的复发,其出口点发生明显移动。通过多部位方法逐步消除致心律失常病灶

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摘要

We present a case of recurrent outflow tract arrhythmia despite repeated ablations. Premature ventricular contractions (PVCs) morphology suggested a right-sided focus. However, electrograms preceding PVCs were recorded from the right and left outflow tracts, distal coronary sinus, and right sinus of Valsalva. Arrhythmia was eliminated after radiofrequency (RF) applications delivered from different sites. We conclude that, in patients with recurrent outflow tract PVCs, mapping all the sites mentioned above may be necessary to find the earliest activation site and carry out successful ablation. In some patients, RF applications from multiple sites may be necessary to completely eliminate arrhythmia.
机译:尽管有多次消融,但我们还是出现了复发性流出道心律失常的情况。室性早搏(PVC)形态提示右侧偏侧。但是,PVC的电描记图是从右侧和左侧流出道,远端冠状窦和Valsalva的右窦记录的。从不同部位进行射频(RF)应用后,心律失常得以消除。我们得出的结论是,对于患有复发性流出道PVC的患者,可能需要绘制上述所有部位,以找到最早的激活部位并成功进行消融。在某些患者中,可能需要从多个位置进行射频应用才能完全消除心律不齐。

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