单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,a,*,心房扑动伴间隙性预激的导管消融,1,a,Conduction Through Bundle Branches,2,a,Conduction Through Purkinje Fibers,3,a,Ventricular Depolarization,4,a,WPW综合征定义,5,a,WPW综合征定义,短P-R间期(o.12),QRS起始部波,宽QRS综合波(o.12秒),快速性心律失常,6,a,男性，,81,岁,反复头晕黑朦,1,年余入院,外院诊断为宽,QRS,心动过速,曾给予心律平治疗,临床资料,7,a,8,a,房扑心室1：1传导伴差异传导,房扑心室1：1传导伴旁道前传,房扑伴存非持续室速,9,a,10,a,11,a,Burst Pacing without decremental conduction,12,a,13,a,14,a,Target ahead of QRS 22ms,15,a,L-AP anterior conduction block,16,a,RVA Pacing VA dissociation,17,a,男性，,73,岁,阵发性心悸伴黑朦,2,年余入院,心电图：宽,QRS,心动过速,曾给予心律平静脉推注后突然出现黑朦,临床资料,18,a,宽QRS心动过速，心率134次/分,19,a,静脉推注心律平35mg后，心率246次/分,20,a,室性心动过速？,旁道前传的室上速？,房性心律失常伴旁道前传？,考虑,21,a,PSVT 心动过速周长448ms,房速 2:1传导 心动过速周长 224ms,22,a,PSVT 心动过速周长448ms,房速 2:1传导 心动过速周长 224ms,心动过速周长 240ms,23,a,24,a,25,a,26,a,总 结,药物治疗前，详细分析,ECG,，避免错误药物,消融前，仔细阅读每一份,ECG,，做到心中有数,术中进行详细的电生理标测，避免漏诊,27,a,Thank you,28,a,