心臟生理解剖結(jié)構(gòu)和傳導(dǎo)路徑

1、Slide 1Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions電生理培訓(xùn) 2001.9心臟解剖結(jié)構(gòu)、電傳導(dǎo)路徑導(dǎo)管定位Slide 2Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter PositionsThe Heart右房右房右室右室左房左房左室左室冠狀竇冠狀竇右室心尖右室心尖 心尖心尖高位右高位右房房主動脈主動脈RVOTRVOT上腔靜脈上腔靜脈下腔靜脈下腔

2、靜脈三尖瓣Slide 3Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions傳導(dǎo)系統(tǒng)希氏束希氏束蒲氏纖維蒲氏纖維竇房節(jié)竇房節(jié)房室節(jié)房室節(jié)Slide 4Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions細胞的自率周期Slide 5Biosense Webster EP Training 2000 Part Anatomy, Conduction

3、System, and Catheter Positions體表心電圖P PQ QR RS ST TSimplified ECGSimplified ECGSlide 6Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions電信號傳導(dǎo)路徑如何測量這些時間距離 (PA, AH, HV)?靠近這些位置獲得這些部位的電信號，并同其他部位的信號相比較。Standard valuesStandard values希氏束希氏束房室節(jié)房室節(jié)竇房節(jié)竇房節(jié) ECGECGSlide 7Bio

4、sense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions在什么位置獲得所要的信號? 使用電心理的標(biāo)測導(dǎo)管: 最早電位:竇房結(jié)HRA 希氏束電位：希氏束HBE 最晚電位： 心室尖RVA 左房電位/左室電位冠狀竇CSSlide 8Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions常規(guī)電生理過程RAORAOLAOLAOPAPASlide 9Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter Positions在X光下觀察圖象IRAORAOSlide 10Biosense Webster EP Training 2000 Part Anatomy, Conduction System, and Catheter PositionsLAOLAO在X光下觀察圖象IISlide 11Biosense Webster EP Training 2000 Part Anatomy, Conduction Syst