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世界核心医学期刊文摘（心脏病学分册） 2005年第8期1卷 53-53页

作者： kilicaslan f. Verma A. Yamaji H. A. Natale Sect 腾增辉 Pacing and Electrophysiology Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 United States

Objectives: The aim of.this study was to assess the incidence of.atrial f.utter(Af.) af.er pulmonary vein antrum isolation(PVAI) in patients with previous cardiac surgery(PCS) in comparison to patients without PCS and to assess the need f.r Af. ablation in both groups. Background: Atrial f.brillation(Af. and Af. of.en co- exist. Pulmonary vein antrum isolation may be suf.icient to control both arrhythmias. However, in patients with PCS, atrial incisions, cannulations, and scar areas may cause Af. recurrence despite elimination of.pulmonary vein triggers. Methods: Data f.om 1,345 patients who had PVAI were analyzed. Patients with a history of.Af. ablation and patients who had concomitant Af. ablation during PVAI were excluded f.om analysis. Sixty- three patients constituted the PCS group(Group 1, age 57± 13 years, 12 f.male) and 1,062 patients constituted the non- PCS group(Group 2, age 55± 12 years, 212 f.male). Patients in Group 1 had larger lef. atria, higher incidence of.Af. pre- PVAI, and lower ejection f.action. Results: There was no signif.cant dif.erence in post- PVAI Af.recurrence between Groups 1 and 2, but Af. incidence af.er PVAI was higher in Group 1(33% vs. 4% , pf.Af. in Group 1 patients resulted in an 86% acute success rate and 11% recurrence over a mean f.llow- up of.357± 201 days. Conclusions: In patients with PCS, post- PVAI Af.recurrence is similar to patients without PCS. However, history of.PCS is associated with a higher recurrence of.Af. af.er PVAI. In a signif.cant number of.patients with PCS, Af. ablation is required to achieve a cure.

关键词：心房扑动心脏外科手术窦隔心房颤动复发率射血分数插管术左心房

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维普期刊数据库

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致心律失常性右室发育不良患者室性心动过速的基质标测和消融:近期和长期成功率研究

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世界核心医学期刊文摘（心脏病学分册） 2005年第11期1卷 37-37页

作者： Verma A. kilicaslan f. Schweikert R. A. A. Natale 贺永明 Electrophysiology Laboratory Cleveland Clinic Foundation 9500EuclidAve ClevelandOH44195United States Dr.

Background-Multiple morphologies,hemodynamic instability, or noninducibility may limit ventricular tachycardia(VT) ablation in patients with arrhythmogenic right ventricular dysplasia(ARVD). Substrate-based mapping and ablation may overcome these limitations. We report the results and success of.substrate based VT ablation in ARVD. Methods and Results-Twenty-two patients with ARVD were studied. Traditional mapping f.r VT was limited because of.multiple/changing VT morphologies(n=14), nonsustained VT(n=10),or hemodynamic intolerance(n=5). Sinus rhythm CARTO mapping was perf.rmed to def.ne areas of.“scar”(f.rmed in “abnormal”regions, targeting sites with good pace maps compared with the induced VT(s). Linear lesions were created in these areas to(1) connect the scar/abnormal region to a valve continuity or other scar or(2) encircle the scar/abnormal region. Eighteen patients had implanted cardioverter def.brillators, 15 had implanted cardioverter def.brillator therapies, and 7 had sustained VT(6 with syncope). VTs(3±2 per patient) were induced(cycle length, 339±94 ms), and scar was identif.ed in all patients. Scar areas were related to the tricuspid annulus, proximal right ventricular outf.ow tract, and anterior/inf.rior-apical walls. Lesions connected abnormal regions to the annulus(n=12) or other scars(n=4) and/or encircled abnormal regions(n=13). Per patient, a mean of.38±22 radiof.equency lesions was applied. Shortterm success was achieved in 18 patients(82%). VT recurred in 23%, 27%, and 47%of.patients af.er 1, 2, and 3 years’f.llow-up, respectively. Conclusions-Substrate-based ablation of.VT in ARVD can achieve a good short-term success rate. However, recurrences become increasingly common during long-term f.llow-up.

关键词：标测致心律失常性右室发育不良三尖瓣环射频消融右室流出道血流动力学瘢痕组织多形性持续性

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维普期刊数据库

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痰涂片阳性肺结核患者成年家庭接触者患活动性结核病的风险

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国际结核病与肺部疾病杂志 2009年第2期4卷 52-57页

作者： Z.kilicaslan E.Kiyan C.Kucuk S.Kumbetli N.Sarimurat f.Ozturk D.Yapici S.AI T.Erboran N.lliksu 姜晓颖刘宇红 Department of.Respiratory Diseases Istanbul Medical SchoolIstanbul UniversityIstanbul Sehremini Tuberculosis Dispensary Istanbul Eyup Tuberculosis Dispensary Istanbul Umraniye Tuberculosis Dispensary Istanbul Besiktas Tuberculosis Dispensary Istanbul Bagcilar Tuberculosis Dispensary Istanbul Kadikoy Tuberculosis Dispensary Istanbul Uskudar Tuberculosis Dispensary IstanbulTurkey

场所:土耳其伊斯坦布尔7个公共结核病防治所。目的:调查伊斯坦布尔新诊断的痰涂片阳性肺结核患者成年家庭接触者(≥15岁)患活动性结核病的风险。设计:对1997—2000年在伊斯坦布尔7家结防所登记的1 570例结核病成年家庭接触者的回顾性分... 详细信息

场所:土耳其伊斯坦布尔7个公共结核病防治所。目的:调查伊斯坦布尔新诊断的痰涂片阳性肺结核患者成年家庭接触者(≥15岁)患活动性结核病的风险。设计:对1997—2000年在伊斯坦布尔7家结防所登记的1 570例结核病成年家庭接触者的回顾性分析。结果:研究包括6 188例家庭接触者(平均接触者/线索病例:3.9),其中4 114例(67%)大于15岁(平均接触者/线索病例:2.6);3 310例(80.5%)参加了接触者调查。平均随访时间2.2年(1～4年);发现222例活动性结核病例(5.4%,95%可信区间5.2～5.6),第一年发现171例。活动性结核发病率为2 491/100 000(15～34岁年龄组发病率3 555/100 000,大于35岁年龄组发病率1 195/100 000,P<0.000 1)。活动性结核病发病率最高的在15～24岁(8.5%)和25～34岁(6.5%)年龄组。结论:涂片阳性肺结核患者的成年家庭接触者活动性结核发病率高。这样的高发病率说明化学预防治疗对于所有接触者,特别是年龄为15～34岁的接触者都是必要的,而不应仅仅用于儿童。

关键词：接触者调查家庭接触者肺结核痰涂片阳性病例

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维普期刊数据库

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