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Dołączył: 03 Sie 2010
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Wysłany: Czw 1:38, 24 Mar 2011 |
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Familial alveolar microlithiasis in 2 cases of 20 -year observation
Law to 12-lead pacing QRS morphology consistent with the room early for the ablation . Or at least a 11 -lead QRS morphology identical , including the QRS amplitude and setbacks should be the same , so often a target for ablation . 4 cases of left ventricular outflow tract origin of ventricular premature . 2 cases in the left coronary aortic sinus ,[link widoczny dla zalogowanych], 2 cases in subaortic . By activation sequence mapping . To bring more than 20ms for the ablation , sinus ablation target to be a clear distance from the mouth of coronary artery , using temperature control,[link widoczny dla zalogowanych], low-power ablation,[link widoczny dla zalogowanych], to avoid harming the coronary artery . This immediate success in 23 cases 21 cases of ventricular premature success rate of 91.3%. 2 cases of 2 unsuccessful ablation , both left ventricular outflow tract . All patients had no complications and postoperative follow-up . Room and early treatment of non- organic heart disease guidelines [61 it clear that no obvious symptoms , without the use of antiarrhythmic drug therapy ,[link widoczny dla zalogowanych], there are obvious symptoms , affect the work and life , to consider application of anti-arrhythmia drugs such as propafenone or B- Receptor blocker. This case are non- structural heart disease, ventricular outflow tract origin of monomorphic ventricular premature ineffective antiarrhythmic drug therapy , which lead to obvious symptoms , the patient has a strong desire to cure such room early . This case of radiofrequency catheter ablation , the success rate was 91.3%. Consistent with those reported , 16 cases of Holter follow-up results show good. Therefore, the paper argues that to have obvious symptoms , medical treatment fails chamber ventricular outflow tract should be chosen as early as radiofrequency catheter ablation . 4
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