医学
心脏病学
内科学
导管消融
烧蚀
心动过速
室上性心动过速
耐火材料(行星科学)
心房颤动
室性心动过速
室上性心律失常
天体生物学
物理
出处
期刊:Heart Rhythm
[Elsevier]
日期:2021-04-01
卷期号:18 (4): 651-652
标识
DOI:10.1016/j.hrthm.2020.11.010
摘要
The seminal work of Dr Mel Scheinman marked the onset of the era of catheter ablation, a major advance in the management of patients with various arrhythmias. 1 Scheinman M.M. Morady F. Hess D.S. et al. Catheter-induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias. JAMA. 1982; 248: 851-855 Crossref PubMed Scopus (594) Google Scholar In the early 1980s, direct current (DC) shocks were initially used to create third-degree atrioventricular (AV) block in patients with atrial fibrillation and an uncontrolled ventricular rate or drug-refractory AV nodal reentrant tachycardia associated with severe symptoms. Targets for DC ablation gradually expanded to include posteroseptal accessory pathways (APs) and ventricular tachycardia, both idiopathic and postinfarction. A small number of electrophysiologists also started using DC ablation in the coronary sinus or at the atrial or ventricular aspect of the mitral annulus to target left-sided APs and along the tricuspid annulus to target right-sided APs. The widespread use of DC ablation was limited by the risk of complications caused by barotrauma.
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