心脏电生理检查和射频消融-1.ppt

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1、心脏电生理检查和射频消融治疗快速心律失常-1长海医院心内科曹江CardiacElectrophysiologyCellularCardiacElectrophysiologyExperimentalCardiacElectrophysiologyClinicalCardiacElectrophysiologyClinicalCardiacElectrophysiologyClinicalCardiacElectrophysiologyisafieldwithincardiologyinvolvescomplicatedtechnicalprocedurestoeva

2、luateheartrhythmsAndprovideappropriatetreatmentforrhythmdisturbancesCardiacElectrophysiologyStudyEPSoftheheartisanon-surgicalanalysisoftheelectricalconductionsystem(normalorabnormal)oftheheart.involvesplacingcardiacelectrodecatheterswithinornearthehearttodeterminethecharacteristicsofhe

3、artrhythmorarrhythmiaEPstudiesmaybehelpfulin:todiagnosethesourceofsymptomstoevaluatetheriskoffuturecardiaceventstoevaluatetheeffectivenessofmedicationincontrollinganarrhythmiatoevaluatetheneedforapermanentpacemaker,animplantablecardioverter-defibrillator,orradiofrequencycatheterablatio

4、nasatreatmentforarrhythmia.RadiofrequencyCatheterablationRFCAAcatheterprocedurethatuseselectricalcurrenttogenerateheattodestroythefastirregularheartbeats心脏功能心脏功能心脏解剖心脏解剖心脏解剖心脏解剖心脏解剖心脏解剖心脏解剖心脏解剖心脏传导系统心脏传导系统心脏传导系统心脏传导系统心脏X线解剖心脏X线解剖心脏X线解剖心脏X线解剖心脏电生理的历史心脏电生理的历史Youcanpickupafeatherafterrubb

5、ingamberwithwoolwhichwereobservedeveninancientGreece心脏电生理的历史公元前300年：亚里士多德发现电鳗的“震击”效应心脏电生理的历史WilliamGilbert(1544-1603)performedimportantearlystudiesofelectricityandmagnetism.InDeMagnete(1600),hewasthefirsttodescribetheearth'smagneticfieldandtopostulatetherelationshipbetweenelectricityan

6、dmagnetism.Heintroducedthetermelectricityintoscientificdiscourse.心脏电生理的历史LuigiGalvani,1737-1798Italianphysicistandanatomistandwasoneofthefirsttoinvestigateexperimentallythephenomenonofwhatcametobenamed"bioelectrogenesis".心脏电生理的历史1791:Galvanidiscoversthatelectricalstimulationofafrog'she

7、artleadstomuscularcontractionCarloMatteucci心脏电生理的历史心脏电生理的历史BritishphysiologistAugustusD.WallerofStMary'sMedicalSchool,Londonpublishesthefirsthumanelectrocardiogram.ItisrecordedwithacapilliaryelectrometerfromThomasGoswell,atechnicianinthelaboratory.WallerAD.Ademonstrationonmanofelectr