心室颤动
医学
心脏病学
内科学
射频消融术
烧蚀
纤颤
复苏
Brugada综合征
麻醉
心房颤动
作者
Michel Haïssaguerre,Dipen Shah,Pierre Jaïs,Morio Shoda,Josef Kautzner,Thomas Arentz,Dietrich Kalushe,Alan H. Kadish,M J Griffith,Fiorenzo Gaita,Teiichi Yamane,Stéphane Garrigue,Mélèze Hocini,Jacques Clémenty
出处
期刊:The Lancet
[Elsevier]
日期:2002-02-01
卷期号:359 (9307): 677-678
被引量:324
标识
DOI:10.1016/s0140-6736(02)07807-8
摘要
Ventricular fibrillation is the main mechanism of sudden cardiac death, but the source of its spontaneous initiation has not been mapped. 16 patients were investigated by electrography and radiofrequency ablation after resuscitation from recurrent idiopathic ventricular fibrillation. Triggers of ventricular fibrillation originated from various locations within the Purkinje system in 12 patients and from the ordinary myocardial muscle in four. The accuracy of mapping was confirmed by acute elimination of triggers by radiofrequency delivery, and there was no recurrence of ventricular fibrillation in 14 patients. Long-term follow-up is necessary to establish that ablation is curative and avoids use of a defibrillator.
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