CARTO三维标测系统在心律失常临床示教中的应用
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摘要
心律失常一直是心血管内科教学的难点。由于其较为复杂的机制,要求学生不仅需要掌握良好的心脏电生理知识,还需要将电生理知识与心脏解剖有机的结合起来,才能完整的掌握心律失常疾病的发生机制。在既往的教学中,缺乏一种教学方法能将电生理和解剖结合起来。心脏电生理的三维标测的CARTO系统提供了一个可以将两者结合的方法。它不仅可以应用于临床的射频消融手术中,也可以应用到临床示教中,给心律失常教学带来一种新的方法和探索。
Arrhythmia,has always been the difficult point of teaching in the department of cardiovascular medicine,and it requires students not only to master the good cardiac elctrophy sidogy knowledge,but also organically combine the elctrophy sidogy knowledge with cardiac anatomy,only in these ways can we completely master the occurrence mechanism of arrhythmia,and in the past teaching,there is no teaching method that can combine the elctrophy sidogy knowledge with cardiac anatomy,and the CARTO three-dimensional mapping system can provide a method of organic combination of the two methods,it can be not only applied into the clinical radiofrequency ablation surgery but also can be used in the clinical teaching,which brings a new method and exploration for the teaching of arrhythmia.
Arrhythmia,has always been the difficult point of teaching in the department of cardiovascular medicine,and it requires students not only to master the good cardiac elctrophy sidogy knowledge,but also organically combine the elctrophy sidogy knowledge with cardiac anatomy,only in these ways can we completely master the occurrence mechanism of arrhythmia,and in the past teaching,there is no teaching method that can combine the elctrophy sidogy knowledge with cardiac anatomy,and the CARTO three-dimensional mapping system can provide a method of organic combination of the two methods,it can be not only applied into the clinical radiofrequency ablation surgery but also can be used in the clinical teaching,which brings a new method and exploration for the teaching of arrhythmia.
引文
[1]蒋晨阳.Carto3和Ensite Velocity电生理标测系统—电生理标测新平台[J].心电学杂志,2011,30(5):437-438.
[2]方丕华,任振芳,麻付胜,等.Carto merge技术指导永久性心房颤动射频消融[J].中国医学科学院学报,2007,29(4):571-574.
[3]光雪峰,李绍龙,龙德勇,等.CARTO指导下导管消融治疗流出道室性心率失常[J].昆明医科大学学报,2013,34(3):63-66.
[4]张晓星,马坚.Carto系统及其在临床心律失常治疗中的应用[J].中华心律失常学杂志,2007,11(3):184-189.
[5]赵亮,张家友,廖德宁,等.CBL教学法在心律失常学继续教育中的应用[J].医学教育探索,2010,9(2):232-235.
[6]贾玉和,韦维,丁立刚,等.流出道室性早搏起源处异常电位的分布和意义[J].中国心脏起搏与心电生理杂志,2011(4):323-325.
[7]赵晓晴,黄国英,陈萍,等.小鼠胚胎近端流出道隔的融合与心肌化研究[J].中国实验动物学报,2005(2):65-67.
[8]丁明超,李芳,王斌,等.无流出道显影的下肢动脉闭塞症腔内血管成形治疗的预探索[J].介入放射学杂志,2015(5):383-387.
[9]冯向飞,李毅刚,王群山,等.腺苷对流出道室性早搏的影响及其安全性[J].中国心脏起搏与心电生理杂志,2012(2):125-129.
[10]王锐,郭丽,李永春,等.调心安神针法对室性心律失常模型兔心肌细胞Cx43磷酸化表达的影响[J].中西医结合心脑血管病杂志,2016(10):1085-1087.
[11]王劲风,汪祥海,蔚有权,等.Carto 3系统指导下导管消融频发性室性早搏的有效性观察[J].安徽医学,2015(10):1194-1197.
[12]王劲风,汪祥海,刘文洁,等.Carto 3指导阵发性房颤的导管消融[J].临床心电学杂志,2014(2):118-120.
[2]方丕华,任振芳,麻付胜,等.Carto merge技术指导永久性心房颤动射频消融[J].中国医学科学院学报,2007,29(4):571-574.
[3]光雪峰,李绍龙,龙德勇,等.CARTO指导下导管消融治疗流出道室性心率失常[J].昆明医科大学学报,2013,34(3):63-66.
[4]张晓星,马坚.Carto系统及其在临床心律失常治疗中的应用[J].中华心律失常学杂志,2007,11(3):184-189.
[5]赵亮,张家友,廖德宁,等.CBL教学法在心律失常学继续教育中的应用[J].医学教育探索,2010,9(2):232-235.
[6]贾玉和,韦维,丁立刚,等.流出道室性早搏起源处异常电位的分布和意义[J].中国心脏起搏与心电生理杂志,2011(4):323-325.
[7]赵晓晴,黄国英,陈萍,等.小鼠胚胎近端流出道隔的融合与心肌化研究[J].中国实验动物学报,2005(2):65-67.
[8]丁明超,李芳,王斌,等.无流出道显影的下肢动脉闭塞症腔内血管成形治疗的预探索[J].介入放射学杂志,2015(5):383-387.
[9]冯向飞,李毅刚,王群山,等.腺苷对流出道室性早搏的影响及其安全性[J].中国心脏起搏与心电生理杂志,2012(2):125-129.
[10]王锐,郭丽,李永春,等.调心安神针法对室性心律失常模型兔心肌细胞Cx43磷酸化表达的影响[J].中西医结合心脑血管病杂志,2016(10):1085-1087.
[11]王劲风,汪祥海,蔚有权,等.Carto 3系统指导下导管消融频发性室性早搏的有效性观察[J].安徽医学,2015(10):1194-1197.
[12]王劲风,汪祥海,刘文洁,等.Carto 3指导阵发性房颤的导管消融[J].临床心电学杂志,2014(2):118-120.