The infrahisian conduction system and endocavitary cardiac structures: relevance for the invasive electrophysiologist

被引:31
作者
Syed, Faisal F. [1 ]
Hai, Jo Jo [2 ]
Lachman, Nirusha [3 ]
DeSimone, Christopher V. [1 ]
Asirvatham, Samuel J. [1 ,4 ]
机构
[1] Mayo Clin, Div Cardiovasc Dis, Rochester, MN 55905 USA
[2] Queen Mary Hosp, Dept Med, Div Cardiol, Hong Kong, Hong Kong, Peoples R China
[3] Mayo Clin, Dept Anat, Coll Med, Rochester, MN 55905 USA
[4] Mayo Clin, Dept Pediat & Adolescent Med, Rochester, MN 55905 USA
关键词
Ventricular tachycardia; Ventricular fibrillation; Cardiac anatomy; Catheter ablation; Complications; His-Purkinje system; Endocavitary structures; Papillary muscle; Moderator band; VENTRICULAR FALSE TENDONS; APPARENTLY HEALTHY-SUBJECTS; POSTERIOR PAPILLARY-MUSCLE; PURKINJE-FIBER NETWORK; MITRAL-VALVE-PROLAPSE; CORRELATIVE ANATOMY; BUNDLE BRANCHES; CATHETER ABLATION; HUMAN HEART; CATECHOLAMINE HISTOFLUORESCENCE;
D O I
10.1007/s10840-013-9858-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The anatomy of the infrahisian conduction tissue and endocavitary structures is complex but necessary to appreciate. The invasive electrophysiology must be thoroughly cognizant of the regional anatomy and relationships between these structures when performing common diagnostic maneuvers and delivering radiofrequency energy to treat ventricular tachycardia or ventricular fibrillation. Similarly, the electrophysiology researcher needs to appreciate the large lacunae in our knowledge in terms of detailed anatomy of the conduction system in the human heart and the functional significance of these structures in arrhythmogenesis.
引用
收藏
页码:45 / 56
页数:12
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