301. 单形性室性早搏的心电图特点及导管射频消融疗效的研究.
- Author
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欧阳微娜, 段江波, and 李学斌
- Abstract
Objective To study and summarize the ECG characteristics of monomorphic premature ventricular contraction(PVC) originating from different sites, and to evaluate their clinical value on determining the pacing target in catheter radiofrequency ablation. Methods We randomly selected 53 PVC patients as research subjects who had been admitted in Peking University People's Hospital from January to November 2017. All the patients underwent catheter radiofrequency ablation. Preoperative ECG features were analyzed which served for the selection of pacing target in catheter radiofrequency ablation. The surgical efficacy and occurrence of complications were observed. Results Among the 53 PVC patients, 50 case(94.34%) were successfully ablated among whom the origins of PVC were correctly identified by ECG in 48 patients(96%). There were 19 cases (35.85%) of PVC originating from the left ventricle and 31(58.49%) originating from the right ventricle. In the 50 successfully-ablated patients, no recurrence was reported during the follow-up of over 3 months. Due to various causes, 3 patients endured surgical failure, accounting for about 5.66%. Conclusion The ECG characteristics of monomorphic PVC help identify the ablation target in advance and reduce the operation time. Catheter radiofrequency ablation is safe and effective for treating frequent monomorphic PVC. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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