68 张树龙 林治湖 R540. 4 + 1 R541. 7 + 1 C 2095-4220 2013 02-0068-05 P 1 P 1 P 2 3 4 Tang 5 P 1 V 1 avl P 5 6 V 1 P P V 1 P V 1 P P 5 6 avl 116011
2013 5 2 2 69 avl P avl P 8 avl 10 avr P P 6 Ⅰ P 8 P Ⅰ Ⅱ V 1 5 7 V 1 2 93% 95% P P 5 7 8 9 Ⅱ Ⅲ avf P 8 V 1 P 5 P V 1 P 3 63% 3. 2 Morton 11 8 Tada 8 4 45 9 7 V 1 P 4 2 avl P 3 3. 1 97% 83% 11 P 8 Ⅲ 11 Kistler 4 P 3. 3 V 5 V 6 P
70 8 P P V 1 P 12 P P Ⅱ Ⅲ avf avr P Ⅰ P avl 7 9 Ⅱ Ⅲ P avf P 14 V 1 P avl avr P Ⅰ < 0. 05 mv 13 / < 0. 85 8 P 7 Koch 9 P Ⅰ avr avl P 3. 4 V 1 P P 15 P V 1 avl P P 120 V 1 avl 8 P Ⅱ 9 avl P Ⅰ P 4 37%
2013 5 2 2 71 V 1 P 80 ms P Ⅲ /Ⅱ 0. 8 P Ⅱ P 0. 1 mv 4. 1 4. 2 3% 19 V 1 P V 2 -V 6 V 2 -V 6 P 19 16 P Ⅰ P 19 4. 3 Kistler 20 7 P P Ohkubo 7 Ⅰ P P P Yamane 17 avl V 1 avl P P Ⅰ P 0. 05 mv V 1 100% 99% Ⅱ P avl P 20 V 1 V 1 P 80 ms P Ⅲ / P Ⅱ 0. 8 95% 75% Ahar 15 P < 120 ms Kistler 4 Ⅰ V 1 ~ V 6 P 94% P V 1 V 1 P 100% Ⅰ P 20 ⅡV 1 P P 98% P 19 P P Ⅱ P 0. 1 mv 4 7 17 Ahar 18 Ⅱ Ⅲ avf P > 0. 3 mv Ⅱ X Ⅲ avf P 18 V 1 avl Ⅰ Ⅱ P P avl P Ⅰ P 0. 05 mv V 1 P 1 1 P T QRS Ⅰ P Ⅱ P P
72 6 P T QRS 1 Saoudi N Cosio F Waldo A et al. Classification of atrial flutter and regular atrial tachycardia according to electrophysiologic mechanism and anatomic bases A statement from a joint expert group from the Working Group of Arrthythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. J Cardiovase Electrophsiol 2001 12 7 852-866. 2 Lesh MD Kalman JM Olgin JE. New approaches to treatment of atrial flutter and tachycardia. J Cardiovase Electrophsiol 1996 7 4 368-381. 3 Chen S-A Tai C-T Chiang CE et al. Focal atrial tachycardia reanalysis of the clinical and electrophysiologic characteristics and prediction of successful radiofrequency ablation. J Cardiovase Electrophsiol 1998 9 4 355-365. 4 Kistler PM Roberts-Thomson KC Haqqani HM et al. P wave morphology in focal atrial tachycardia. J Am Coll Cardiol 2006 48 5 1010-1017. 5 Tang CW Scheinman MM Van Hare G et al. Use of p wave configuration during atrial tachycardia to predict site of origin. J Am Coll Cardiol 1995 26 5 1315-1324.. P. 2002 22 12 723-724. 7 Ohkubo K Watanabe I Yamada T et al. P wave morphology of an arrhythmogenic focus in patients with atrial fibrillation originating from a pulmonary vein or superior vena cava. Circ J 2008 72 10 1650-1657. 8 Tada H Nogami A Naito S et al. Simple electrocardiographic criteria for identifying the site of origin of focal right atrial tachycardia. Pacing Clin Electrophysiol 1998 21 11 Pt 2 2431-2439. 9 Kuo JY Tai CT Tsao HM et al. P wave polarities of an arrhythmogenic focus in patients with paroxysmal atrial fibrillation originating from superior vena cava or Right Superior Pulmonary Vein. J Cardiovasc Electrophsiol 2003 14 4 350-357. 10 Kalman JM Olgin JE Karch MR et al. Cristal Tachycardias origin of right atrial tachycardias from the crista terminalis identified by intracardiac echocardiography. J Am Coll Cardiol 1998 31 2 451-459. 11 Morton JB Sanders P Das A et al. Focal atrial tachycardia arising from the tricuspid annulus electrophysiologic and electrocardiographic characteristics. J Cardiovase Electrophsiol 2001 12 6 653-659. ( 下转第 76 页 )
76 4. 3 4. 2 P 2013-04-30 ( 上接第 72 页 ) 12 Chen C-C Tai C-T Chiang C-E et al. Atrial tachycardias originating from the atrial septum. J Cardiovase Electrophsiol 2000 11 7 744-749. 13 Kistler PM Fynn SP Haqqani H et al. Focal atrial tachycardia from the ostium of the coronary sinus. J Am Coll Cardiol 2005 45 9 1488-1493. 14 Zhao Z Li X Guo J. Electrophysiologic characteristics of atrial tachycardia originating from the superior vena cava. J Interv Card Electrophysiol 2009 24 2 89-94. 15 Odonnell D Bourke JP Furniss SS et al. P wave morphology during spontaneous and pulmonary vein activity. J Electrocardiol 2003 36 1 33-40. 16.. 2002 6 2 111-115. 17 Yamane T Shah DC Peng JT et al. Morphological characteristics of P waves during selective pulmonary vein pacing. J Am Coll Cardiol 2001 38 5 1505-1510. 18 Ahar M Callans D Kocovic D et al. Quantitative characterization of P wave from limb leads of surface electrocardiogram to identify left versus right pulmonary vein origin. abstract J Am Coll Cardiol 2000 35 1164. 20 Wang WL Li XB Quan X et al. Focal atrial tachycardia originating from the left atrial appendage. J Cardiovase Electrophsiol 2007 18 5 459-464. 21 Kistler PM Sanders P Hussin A et al. Focal atrial tachycardia a- rising from the mitral annulus electrocardiographic and electrophysiologic characterization. J Am Coll Cardiol 2003 41 12 2212-2219. 2013-04-15