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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,*,*,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,*,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,*,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,*,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,*,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,*,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,*,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,*,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,*,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,*,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,*,关注非肺静脉触发灶,关注非肺静脉触发灶,PV,LA,Lighter,(trigger),Wood,(substrate),心房颤动的可能机制,Non-PV,PVLALighter Wood心房颤动的可能机制Non,Focal trigger within the PVs,Haissaguerre et al N Eng J Med 1998;339:659-66,95%,from PV,Focal trigger within the PVsHa,Shih-Ann Chen,et al,Shih-Ann Chen,et al,心房内触发灶,心房内触发灶,CT,下端触发灶,CT下端触发灶,房早和短阵房速,房早和短阵房速,AT to AF,AT to AF,房早时腔内电图,房早时腔内电图,房速时腔内图,房速时腔内图,非肺静脉触发灶课件,靶点图消融影像,靶点图消融影像,消融成功后的窦性心律,消融成功后的窦性心律,室上性快速性心律失常与房颤,室上性快速性心律失常与房颤,LAP-SVT AF,LAP-SVT AF,普罗帕酮,普罗帕酮,非肺静脉触发灶课件,上腔静脉触发或驱动房颤,上腔静脉触发或驱动房颤,右上肺静脉内记录到远场的上腔静脉触发灶,SVC,右上肺静脉内记录到远场的上腔静脉触发灶SVC,上腔静脉内快速异常电活动,上腔静脉内快速异常电活动,上腔静脉隔离,上腔静脉隔离,AF recurrence(LASSO,in SVC,),RA,LA,SVC,AF recurrence(LASSO in SVC)RAL,AF terminates during RF ablation with SVC potential delayed,AF terminates during RF ablati,SVC potential gone,SVC potential gone,非肺静脉触发灶课件,左上腔静脉触发房颤,左上腔静脉触发房颤,PV mapping:no PVP,LPV,RPV,PV mapping:no PVPLPVRPV,LSVC-Potential recovered,LSVC isolation,LSVC-Potential recoveredLSVC i,Post PV/LSVC isolation:AT?AF?,CL:164435ms,Post PV/LSVC isolation:AT?AF?,EnSite-Array mapping in LA,:,Multi-Exit points,EnSite-Array mapping in LA:Mul,AT?/AF?:Lasso in LSVC,AT?/AF?:Lasso in LSVC,Catheter ablation failed by conventional mapping,95,ms,Catheter ablation failed by co,Multi-Geometry making and LSVC Activation Mapping,V,A,Multi-Geometry making and LSVC,AT terminates during ablation,A,S,S,A,S,A,SSNR,APAC/AT,AT terminates during ablationA,LA/LSVC Venography,-,LAO,LA/LSVC Venography-LAO,Target point in LSVC-LAO,ABL,CS,LAA,LSPV,array,LSVC,LIPV,Target point in LSVC-LAOABLCSL,LA/LSVC Venography,-,RAO,LA/LSVC Venography-RAO,Target point in LSVC-RAO,LAA,LSPV,ABL,CS,LSVC,Target point in LSVC-RAOLAALSP,
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