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Chinese Medical Journal 2008年第9期121卷 859-861页

作者： yu rong-hui dong jian-zeng liu xing-peng long de-yong kang jun-ping ma chang-sheng department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

Recurrent atrial tachycardia （AT） is often observed late .after heart surgery and it contributes significantly to the morbidity and mortality of this group of patients. In patients with structurally normal hearts the most prevalent type of AT is a macroreentrant atrial tachycardia （maT）, more specifically known as common atrial flutter （AFL）. In contrast, in patients with repaired structural heart disease other ATs may occur due to the existence of variable and multiple arrhythmogenic substrates, related to the underlying heart disease and/or the surgical incisions.

关键词： integration catheter ablation atrial tachycardia atrial septal defect macroreentry

Unconscious sedation/analgesia with propofol versus conscious sedation with fentanyl/midazolam for catheter ablation of atrial fibrillation:a prospective,randomized study

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Chinese Medical Journal 2007年第22期120卷 2036-2038页

作者： TANG Ri-bo dong jian-zeng ZHAO Wen-du liu xing-peng kang jun-ping long de-yong yu rong-hui HU Fu-li liu Xiao-hui ma chang-sheng department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China department of Anesthesiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

Catheter ablation of atrial fibrillation （AF） has been ,increased dramatically recently. However, it is an unpleasant procedure with intolerable pain without sedation. Propofol and fentanyl/midazolam have been widely used in painful clinical examination and cardiovascular procedures with established safety and efficacy. Propofol, alfentanyl and midazolam were administrated for catheter ablation in some electrophysiological labs for a less painful procedure. However, there is few published work on the sedation regimen for catheter ablation of AF.

关键词： atrial fibrillation ablation sedation

CEPC Technical design Report

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Radiation detection Technology and Methods 2024年第1期8卷 I0003-I0016,1-1091页

作者： Waleed Abdallah Tiago Carlos Adorno de Freitas Konstantin Afanaciev Shakeel Ahmad Ijaz Ahmed Xiaocong Ai Abid Aleem Wolfgang Altmannshofer Fabio Alves Weiming An Rui An Daniele Paolo Anderle Stefan Antusch Yasuo Arai Andrej Arbuzov Abdesslam Arhrib Mustafa Ashry Sha Bai yu Bai Yang Bai Vipul Bairathi Csaba Balazs Philip Bambade yong Ban Tripamo Bandyopadhyay Shou-Shan Bao desmond P.Barber Ayse Bat Varvara Batozskaya Subash Chandra Behera Alexander Belyaev Michele Bertucci Xiao-jun Bi yuanjie Bi Tianjian Bian Fabrizio Bianchi Thomas Biekotter Michela Biglietti Shalva Bilanishvili deng Binglin denis Bodrov Anton Bogomyagkov Serge Bondarenko Stewart Boogert maarten Boonekamp marcello Borri Angelo Bosotti Vincent Boudry Mohammed Boukidi Igor Boyko Ivanka Bozovic Giuseppe Bozzi Jean-Claude Brient Anastasiia Budzinskaya masroor Bukhari Vladimir Bytev Giacomo Cacciapaglia Hua Cai Wenyong Cai Wujun Cai Yijian Cai Yizhou Cai yuchen Cai Haiying Cai Huacheng Cai Lorenzo Calibbi junsong Cang Guofu Cao jianshe Cao Antoine Chance Xuejun chang yue chang Zhe chang Xinyuan chang Wei Chao Auttakit Chatrabhuti Yimin Che yuzhi Che Bin Chen Danping Chen Fuqing Chen Fusan Chen Gang Chen Guoming Chen Hua-xing Chen huirun Chen Jinhui Chen Ji-yuan Chen Kai Chen mali Chen Mingjun Chen Mingshui Chen Ning Chen Shanhong Chen Shanzhen Chen Shao-long Chen Shaomin Chen Shiqiang Chen Tianlu Chen Wei Chen Xiang Chen Xiaoyu Chen Xin Chen Xun Chen Xurong Chen Ye Chen Ying Chen yukai Chen Zelin Chen Zilin Chen Gang Chen Boping Chen Chunhui Chen Hok Chuen Cheng Huajie Cheng Shan Cheng Tongguang Cheng yunlong Chi Pietro Chimenti Wen Han Chiu Guk Cho Ming-Chung Chu Xiaotong Chu Ziliang Chu Guglielmo Coloretti Andreas Crivellin Hanhua Cui Xiaohao Cui Zhaoyuan Cui Brunella D'Anzi Ling-yun Dai Xinchen Dai Xuwen Dai Antonio de maria Nicola de Filippis Christophe de La Taille Francesca de Mori Chiara de Sio Elisa del Core Shuangxue deng Wei-Tian deng Zhi deng Ziyan deng Bhupal dev Tang dewen Biagio Di Micco Ran Ding Siqin Dingl Yadong Ding Haiyi dong jianin AGH University of Science and Technology Faculty of Physics and Applied Computer ScienceKrakow Anhui University HefeiAnhui Applied Physics department Federal Urdu University of ArtsScience and TechnologyIslamabad Banaras Hindu University Institute of ScienceVaranasi Bandirma Onyedi Eylul University Bandirma Beihang University Beijing Beijing Computational Science Research Center Beijing Beijing Conveyi LTD Beijing Beijing Glass Research Institute Co. LtdBeijing Beijing Institute of Technology Beijing Beijing Normal University Beijing Brown University ProvidenceRI Budker Institute of Nuclear Physics Novosibirsk Cadi Ayyad University Laboratory of Fundamental and Applied PhysicsPolydisciplinary FacultyMarrakech Cairo University Giza Center for Theory and Computation National Tsing Hua UniversityHsinchu Central China Normal University WuhanHubei Central South University ChangshaHunan Centro de Fisica Teorica de Particulas Universidade Tecnica de LisboaLisboa Chengdu KaitengSifang Digital Radio&TV Equipment Co. LtdChengduSichuan China academy of engineering physics MianyangSichuan China building materials academy Beijing China Center of Advanced Science and Technology Beijing China Institute of Atomic Energy Beijing China Jiliang University HangzhouZhejiang China Nuclear Instrument CO. LTDBeijing China University of Geosciences Beijing China University of Geosciences WuhanHubei China University of Mining and Technology XuzhouJiangsu China West Normal University NanchongSichuan Chongqing University Department of PhysicsChongqing Chulalongkorn University Bangkok City University of Hong Kong Department of PhysicsHong Kong Cockcroft Institute Daresbury Cornell University IthacaNY CPPM(AMU/IPhU&CNRS/INP) Marseille Dalian Minzu University DalianLiaoning Dalian University of Technology Department of PhysicsDalian deutsches Elektronen-Synchrotron deSY Hamburg Dzhelepov Laboratory of Nuclear Problems of Joint Institute for Nuclear Research(DLNP JINR) Dubna East China University Of Science And Technol

The Circular Electron Positron Collider(CEPC)is a large scientific project initiated and hosted by China,fostered through extensive collaboration with international *** complex comprises four accelerators:a 30 GeV Linac,a 1.1 GeV Damping Ring,a Booster capable of achieving energies up to 180 GeV,and a Collider operating at varying energy modes(Z,W,H,and tt).The Linac and Damping Ring are situated on the surface,while the subterranean Booster and Collider are housed in a 100 km circumference underground tunnel,strategically accommodating future expansion with provisions for a potential Super Proton Proton Collider(SPPC).The CEPC primarily serves as a Higgs *** its baseline design with synchrotron radiation(SR)power of 30 MW per beam,it can achieve a luminosity of 5×10^(34)cm^(-2)s^(-1)per interaction point(IP),resulting in an integrated luminosity of 13 ab^(-1)for two IPs over a decade,producing 2.6 million Higgs *** the SR power to 50 MW per beam expands the CEPC's capability to generate 4.3 million Higgs bosons,facilitating precise measurements of Higgs coupling at sub-percent levels,exceeding the precision expected from the HL-LHC by an order of *** Technical design Report(TDR)follows the Preliminary Conceptual design Report(Pre-CDR,2015)and the Conceptual design Report(CDR,2018),comprehensively detailing the machine's layout,performance metrics,physical design and analysis,technical systems design,R&D and prototyping efforts,and associated civil engineering ***,it includes a cost estimate and a preliminary construction timeline,establishing a framework for forthcoming engineering design phase and site selection *** is anticipated to begin around 2027-2028,pending government approval,with an estimated duration of 8 *** commencement of experiments and data collection could potentially be initiated in the mid-2030s.

关键词： initiated exceeding precise

Characteristics, management, and Outcomes of Acute Heart Failure in the Emergency department： A Multicenter Registry Study with 1-year Follow-up in a Chinese Cohort in Beijing

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Chinese Medical Journal 2017年第16期130卷 1894-1901页

作者： Guo-Gan Wang Si-Jia Wang jian Qin Chun-sheng Li Xue-Zhong yu Hong Shen Li-Pei Yang Yan Fu Ya-An Zheng Bin Zhao dong-Min yu Fu-jun Qin de-Gui Zhou Ying Li Fu-jun liu Wei Li Wei Zhao Xin Gao Zheng Wang Ming Jin Hong zeng Yi Li Guo-xing Wang Hong Zhou Xiao-Lu Sun peng-Bo Wang Kam-Sang Woo Emergency and Critical Center State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China department of Cardiology State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China department of Emergency Beijing Friendship Hospital Capital Medical University Beijing 100050 China department of Emergency Xuanwu Hospital Capital Medical University Beijing 100053 China department of Emergency Beijing Chao Yang Hospital Beijing 100020 China department of Emergency Peking Union Medical College Hospital Beijing 100032 China department of Emergency The General Hospital of Chinese People's Liberation Army Beijing 100853 China department of Emergency Beijing Tongren Hospital Capital Medical University Beijing 100730 China department of Emergency Peking University Third Hospital Beijing 100083 China department of Emergency Beijing Jishuitan Hospital Beijing 100035 China department of Emergency Beijing Tiantan Hospital Capital Medical University Beijing 100050 China department of Emergency Fangshan District Liangxiang Hospital Beijing 102400 China department of Emergency The Hospital of Shunyi District Beijing 101300 China department of Emergency People's Hospital of Beijing Daxing District Beijing 102600 China department of Emergency The Luhe Teaching Hospital of the Capital Medical University Beijing 101100 China Medical Research and Biometrics Centre National Centre for Cardiovascular Diseases Cardiovascular Institute and Fuwai Hospital Chinese Academy of Medical Sciences Xishan Institute of Fuwai Hospital Beijing 102300 China Information Technology Centre Fuwai Hospital Beijing 100037 China Heart Center First Hospital of Tsinghua University Beijing 100016 China department of Medicine and Th

Background： The emergency department （ED） has a pivotal influence on the management of acute heart failure （AHF）, but dataconcerning current ED management are scarce. This Beijing AHF Registry Study investigated the characteristics. ED management, and short- and long-term clinical outcomes of AHF. Methods： This prospective, multicenter, observational study consecutively enrolled 3335 AHF patients who visited 14 EDs in Beijing from January 1, 2011, to September 23, 2012. Baseline data on characteristics and management were collected in the EDs. Follow-up data on death and readmissions were collected until November 31, 2013, with a response rate of 92.80%. The data were reported as median （interquartile range） for the continuous variables, or as number （percentage） for the categorical variables. Results： The median age of the enrolled patients was 71 （58 79） years, and 46.84% wvere women. In patients with AHH coronary heart disease （43.27%） was the most common etiology, andmyocardium ischemia （30.22%） was the main precipitant. Most of the patients in the ED received intravenous treatments, including diuretics （79.28%） and vasodilators （74.90%）. Fewer patients in the ED received neurohormonal antagonists, and 25.94%, 31.12%, and 33.73% of patients received angiotensin converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers, and spironolactone, respectively. The proportions of patients who were admitted, discharged, left against medical advice, and died were 55.53%, 33.58%, 7.08%, and 3.81%, respectively. All-cause mortalities at 30 days and 1 year were 15.30% and 32.27%, respectively. Conclusions： Substantial details on characteristics and ED management of AHF were investigated. The clinical outcomes of AHF patients were dismal. Thus, further investigations of ED-based therapeutic approaches for AHF are needed.

关键词： Acute Heart Failure Clinical Characteristics Clinical Outcomes Current management Emergency department

电解剖标测和磁共振影像融合技术指导导管消融心房颤动的有效性研究

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中华心血管病杂志 2007年第11期35卷 1029-1033页

作者：喻荣辉马长生董建增刘兴鹏龙德勇康俊萍方东平汤日波胡福莉何小魁首都医科大学附属北京安贞医院心内科北京心肺血管疾病研究所 100029

目的探讨三维电解剖标测(CARTO)系统重建图像和预先取得的磁共振影像融合后指导心房颤动(房颤)导管消融的有效性。方法从2005年9月至2006年9月对连续100例药物治疗无效的房颤患者行导管消融治疗,基本策略均为在 CARTO 系统指导下进行环... 详细信息

目的探讨三维电解剖标测(CARTO)系统重建图像和预先取得的磁共振影像融合后指导心房颤动(房颤)导管消融的有效性。方法从2005年9月至2006年9月对连续100例药物治疗无效的房颤患者行导管消融治疗,基本策略均为在 CARTO 系统指导下进行环肺静脉线性消融并实现电学隔离。随机分为2组,每组50例。第1组为术前配准组,在消融开始前即进行影像配准并融合,并在此融合影像指导下进行导管消融,消融结束后进行再次融合;第2组为术后配准组,在单纯CARTO 技术指导下消融,消融结束后才进行影像配准并融合。最后比较两组的消融结果并评估消融过程中的差异。结果环肺静脉消融结束后,第1组左心房三维磁共振表面重建影像至电解剖标测图像各点平均距离为(1.6±0.7)mm,消融线上平均标记位点(75±27)个,平均 X 线透视时间(31±21)min;第2组的上述指标分别为(2.1±1.3)mm、(98±38)个、(55±29)min。以上组间比较差异都有统计学意义。将实际消融线与预定消融线比较,第2组中有组间差异的偏差区域分别是左侧肺静脉前庭顶部(15例)、底部(11例)、前下缘(23例)、前上缘(24例)和右侧肺静脉前庭后上缘(12例)、底部(10例)、前下缘(15例)。结论影像融合技术指导导管消融可提高准确性,并可减少 X 线透视时间及消融点数。

关键词：心房颤动导管消融术磁共振成像

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超重和肥胖对心房颤动导管消融复发的影响

中国心脏起搏与心电生理杂志 2009年第2期23卷 127-130页

作者：汤日波马长生董建增刘兴鹏康俊萍龙德勇喻荣辉田颖郑斌胡福莉史力生陶海龙刘小慧首都医科大学附属北京安贞医院心内科北京100029

目的探讨超重和肥胖对心房颤动(简称房颤)导管消融复发的影响。方法回顾性分析连续入院在三维标测系统指导下行环肺静脉线性消融的患者369例,复发定义为消融1个月后发生持续30s以上的房性快速性心律失常,以体重指数≥25.0kg/m2做为超重... 详细信息

目的探讨超重和肥胖对心房颤动(简称房颤)导管消融复发的影响。方法回顾性分析连续入院在三维标测系统指导下行环肺静脉线性消融的患者369例,复发定义为消融1个月后发生持续30s以上的房性快速性心律失常,以体重指数≥25.0kg/m2做为超重和肥胖的诊断标准。结果369例中超重和肥胖199例,左房前后径和左室舒张末径在超重和肥胖组显著大于非超重和肥胖组(40.2±6.0mmvs36.6±6.5mm,P<0.001;49.1±7.1mmvs46.9±6.6mm,P=0.003)。随访459±181天,超重和肥胖组复发率为40.2%,非超重和肥胖组的复发率为25.9%,两组间差异有显著性(P=0.004)。单因素分析发现超重和肥胖、持续性/永久性房颤、左房前后径、左室舒张末径是导管消融复发的预测因素。经校正房颤病程、房颤类型、高血压、器质性心脏病,Cox多因素分析显示超重和肥胖是房颤复发的独立危险因素(危险比=1.67,95%可信区间1.13～2.46,P=0.009)。进一步校正左房前后径和左室舒张末径,Cox多因素分析发现只有左房前后径是复发的独立预测因素(危险比=1.04,95%可信区间1.01～1.08,P=0.010)。结论超重和肥胖是影响房颤导管消融复发的重要因素,其机制可能是通过左房增大介导的。

关键词：心血管病学超重肥胖心房颤动导管消融射频消融复发

心房颤动导管消融术后抗心律失常药物与复发的关系

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中国心脏起搏与心电生理杂志 2009年第3期23卷 222-225页

作者：汤日波马长生董建增刘兴鹏龙德勇喻荣辉康俊萍史力生田颖郑斌何华陶海龙刘小慧首都医科大学附属北京安贞医院心内科房颤中心北京100029

目的探讨抗心律失常药物对心房颤动(简称房颤)导管消融术后早期复发和晚期复发的影响。方法210例房颤患者在三维电解剖标测系统和肺静脉环状标测电极联合指导下行环肺静脉电隔离。术后应用抗心律失常药物3个月,其中服用普罗帕酮29例、... 详细信息

目的探讨抗心律失常药物对心房颤动(简称房颤)导管消融术后早期复发和晚期复发的影响。方法210例房颤患者在三维电解剖标测系统和肺静脉环状标测电极联合指导下行环肺静脉电隔离。术后应用抗心律失常药物3个月,其中服用普罗帕酮29例、胺碘酮113例、索他洛尔3例,未服用药物65例,因索他洛尔组病例数少仅对前三组进行分析。早期复发定义为导管消融3个月内发生快速性房性心律失常,晚期复发定义为导管消融3个月后停用抗心律失常药物后发生快速性房性心律失常。结果三组平均年龄具有显著差异,余基线资料无显著性差异。术后3个月内共88例(41.9%)出现早期复发,普罗帕酮、胺碘酮、未服用抗心律失常药物三组早期复发率分别为41.4%,32.7%,55.4%,具有显著差异(P=0.013)。Logistic分析显示胺碘酮与早期复发独立相关(比数比=0.37,95%可信区间0.19～0.72,P=0.003)。随访180±75(91～374)天,66例(31.4%)晚期复发,三组晚期复发率分别为34.5%,28.3%,32.3%,无显著差异(P=0.752)。Logistic分析显示抗心律失常药物不是晚期复发的独立危险因素(P=0.978)。服索他洛尔3例均出现早期复发和晚期复发。结论术后服用抗心律失常药物特别是胺碘酮可显著降低房颤导管消融的早期复发,但对晚期复发无影响。

关键词：心血管病学心房颤动导管消融复发抗心律失常药物

A practical community-based response strategy to interrupt Ebola transmission in sierra Leone, 2014–2015

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Infectious Diseases of Poverty 2016年第1期5卷 670-679页

作者： Zhong-Jie Li Wen-Xiao Tu Xiao-Chun Wang Guo-Qing Shi Zun-dong Yin Hai-jun Su Tao Shen Da-peng Zhang jian-dong Li Shan Lv Chun-Li Cao Rui-Qian Xie Hong-Zhou Lu rong-Meng jiang Zheng Cao Zhi-Jie An Lei-Lei Li Jie Xu Yan-Wen Xiong Wei Zang Wei Zhang Hong-Wei Zhang Wen-Sen Chen Hua Ling Wen Xu jian Cai Huan-Jin Luo Xue-sheng xing Can-jun Zheng Qiang Wei Xin-Xu Li Mei Li Hai jiang Li-Quan deng Ming-Quan Chen Xiang Huo Feng Xu Xue-hui Lai Xi-Chen Bai long-Jie Ye jian-Yi Yao Wen-Wu Yin Jiao-Jin Sun Lin Xiao Fu-Qiang liu Xiao-Qiang liu Hong-Wei Fan zeng-Qiang Kou Ji-Kun Zhou Hao Zhang Da-Xin Ni Thomas TSamba Qun Li Hong-Jie yu yu Wang Xiao-Feng Liang Division of Infectious Disease Key Laboratory of Surveillance and Early-warning on Infectious DiseaseChinese Center for Disease Control and PreventionBeijingChina Public Health Emergency Center Chinese Center for Disease Control and PreventionBeijingChina National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Chinese Field Epidemiology Training Program Chinese Center for Disease Control and PreventionBeijingChina National Immunization Program Chinese Center for Disease Control and PreventionBeijingChina Bureau of Disease Prevention and Control National Health and Family Planning Commission of the People’s Republic of ChinaBeijingChina National Institute for Viral Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina National Institute of Parasitic Disease Chinese Center for Disease Control and PreventionShanghaiChina Chinese Center for Health Education BeijingChina department of Infectious Diseases Shanghai Public Health Clinical CenterShanghaiChina Beijing Ditan Hospital Capital Medical UniversityBeijingChina Health News BeijingChina National Institute for Communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina department of Training Chinese Center for Health EducationBeijingChina Center for Infectious Diseases Beijing Youan HospitalCapital Medical UniversityBeijingChina Infection management The First Affiliated Hospital of Nanjing Medical UniversityNanjingChina Chongqing Municipal Center for Disease Control and Prevention ChongqingChina yunnan Provincial Center for Disease Control and Prevention KunmingChina Division of Infectious Disease Control and Prevention Zhejiang Provincial Center for Disease Control and PreventionHangzhouChina Guangdong Provincial Center for Disease Control and Prevention GuangzhouChina Division of Acute Infectious Disease Control and Prevention Hubei Provincial Center for Disease Control and PreventionW

Background:The Ebola virus disease spread rapidly in West Africa in 2014,leading to the loss of thousands of *** engagement was one of the key strategies to interrupt Ebola transmission,and practical community level measures needed to be explored in the field and tailored to the specific context of ***:First,community-level education on Ebola virus disease(EVD)prevention was launched for the community’s social mobilizers in six districts in Sierra Leone beginning in November ***,from January to may of 2015,in three pilot communities,local trained community members were organized to engage in implementation of EVD prevention and transmission interruption measures,by involving them in alert case report,contact tracing,and social *** epidemiological indicators of transmission interruption in three study communities were ***:A total of 6016 community social mobilizers from 185 wards were trained by holding 279 workshops in the six districts,and EVD message reached an estimated 631680 *** three pilot communities,72 EVD alert cases were reported,with 70.8%of them detected by trained local community members,and 14 EVD cases were finally *** tracing detected 64.3%of EVD *** median duration of community infectivity for the cases was 1 *** secondary attack rate was 4.2%,and no third generation of infection was *** health worker was infected,and no unsafe burial and noncompliance to EVD control measures were *** community-based measures were modeled to reduce 77 EVD cases,and the EVD-free goal was achieved four months earlier in study communities than whole country of Sierra ***: The community-based strategy of social mobilization and community engagement was effective in casedetection and reducing the extent of Ebola transmission in a country with weak health system. The successfullypractical experience to reduce the risk of Ebola transmission in the

关键词： Ebola virus disease Community engagement Health education Outbreak control

影像融合系统指导下导管消融伴双下肺静脉共同开口的心房颤动特点

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中国医药 2009年第5期4卷 321-323页

作者：喻荣辉马长生董建增刘兴鹏龙德勇汤日波史力生康俊萍首都医科大学附属北京安贞医院心内科北京100029

目的探讨影像融合系统指导下导管消融伴双下肺静脉共同开口的心房颤动（房颤）的解剖学、电生理学和治疗学特点。方法1381例药物治疗无效的房颤患者在消融前接受磁共振血管造影或多排CT扫描，影像融合技术（CartoMerge^TM software）重... 详细信息

目的探讨影像融合系统指导下导管消融伴双下肺静脉共同开口的心房颤动（房颤）的解剖学、电生理学和治疗学特点。方法1381例药物治疗无效的房颤患者在消融前接受磁共振血管造影或多排CT扫描，影像融合技术（CartoMerge^TM software）重建左心房和肺静脉。阵发性房颤者进行了触发灶的电生理标测。基本消融策略是在影像融合系统指导下“三环法”肺静脉隔离：两个环分别围绕两个上肺静脉，另一个环围绕双下肺静脉共同开口。结果影像融合系统成功重建1381例左心房和肺静脉并发现有12例（0．8％）为左、右下肺静脉共同开口，这种变异可分为两种形态：没有短共干的Ⅰ型双下肺静脉共同开口和有短共干的Ⅱ型双下肺静脉共同开口。多数阵发性房颤在共同开口内有触发灶。“三环法”肺静脉隔离术成功率83％。结论双下肺静脉共同开口可按有无短共干分为两型。共同开口内可能是阵发性房颤的重要病灶。在影像融合技术指导下进行“三环法”肺静脉隔离的消融策略可能是伴该种肺静脉变异的房颤患者较好的治疗方法。

关键词：心房颤动导管消融影像融合肺静脉共同开口

心房颤动导管消融术后早期复发的直流电复律临床分析

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中国心脏起搏与心电生理杂志 2007年第5期21卷 403-406页

作者：汤日波马长生康俊萍董建增刘兴鹏龙德勇胡福莉喻荣辉卢春山方冬平郝蓬刘晓惠首都医科大学附属北京安贞医院心内科北京100029

目的对心房颤动(简称房颤)导管消融术后1个月内复发行直流电复律的患者的临床特征进行前瞻性研究。方法丙泊酚镇静、禁食状态下,单向波同步电复律,电极板置于心尖-胸骨旁右侧,能量依次采用300,360,360J。结果共入选23例患者,年龄58±13... 详细信息

目的对心房颤动(简称房颤)导管消融术后1个月内复发行直流电复律的患者的临床特征进行前瞻性研究。方法丙泊酚镇静、禁食状态下,单向波同步电复律,电极板置于心尖-胸骨旁右侧,能量依次采用300,360,360J。结果共入选23例患者,年龄58±13岁,房颤病史6.8±5.0年,左房直径41.9±9.8mm,左室射血分数0.58±0.11。复发心律失常中12例为心房扑动,10例为房颤,1例为房性心动过速。共进行27次电复律,19次(70.4%)即刻复律成功,其中15次1次放电复律成功。1例复律后出现窦性心动过缓伴交界心律,1例丙泊酚镇静时出现呼吸暂停。随访8.5±3.7个月,52.2%的患者为窦性心律。即刻复律成功组其远期成功率为64.7%,即刻复律失败的远期均不成功,两组间有显著性差异(P=0.014)。1次放电即可成功者远期成功率为69.2%,需要多次放电的患者远期成功率为20.0%,两组间有显著性差异(P=0.036)。结论直流电复律可安全有效地用于房颤导管消融术后早期复发的患者,即刻电复律成功是远期成功的预测因素,复律时需要多次放电的远期成功率低。

关键词：心血管病学直流电复律心房颤动导管消融早期复发