Transcript 电生理培训 心脏解剖结构、电传导路径 导管定位 Slide 1

Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
电生理培训
心脏解剖结构、电传导路径
导管定位
Slide 1
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
The Heart
RVOT
主动脉
上腔静脉
高位右房
右房
Slide 2
左房
冠状窦
三尖瓣
左室
右室
下腔静脉
右室心尖
心尖
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
传导系统
窦房节
房室节
蒲氏纤维
Slide 3
希氏束
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
细胞的自率周期
Slide 4
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
体表心电图
Simplified ECG
Slide 5
R
P
T
Q
S
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
电信号传导路径
窦房节
ECG
Slide 6
Standard values
房室节
希氏束
如何测量这些时
间距离 (PA, AH,
HV)?
靠近这些位置获得这
些部位的电信号，并
同其他部位的信号相
比较。
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
在什么位置获得所要的信号?
• 使用电心理的标测导管:
– 最早电位:
– 希氏束电位：
– 最晚电位：
窦房结
希氏束
心室尖
HRA
HBE
RVA
– 左房电位/
左室电位
冠状窦
CS
Slide 7
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
常规电生理过程
RAO
Slide 8
LAO
PA
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
在X光下观察图象I
RAO
Slide 9
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
在X光下观察图象II
LAO
Slide 10
Prepared by Andreas Ramöller
Biosense Webster EP Training 2000
Part Anatomy, Conduction System,
and Catheter Positions
典型基线记录图
Surface ECG
HRA
HBE
CS
RVA
Slide 11