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Sinoatrial reentry due to the speed of treatment and follow-up case of syndrome


. Stroke can be induced esophageal blame and termination of paroxysmal tachycardia, sinus node recovery time (just RT) for 5 seconds or more, and the emergence of clinical symptoms such as black and amusement x-ray and echocardiography normal clinical examination does not found evidence of organic heart disease. May 27 to accept Electrophysiology. Basic rhythm is sinus tachycardia, but may be terminated and induced premature stimulation, the A sequence consistent with crossing the excitement back electrophysiological study of sinus law excludes dual atrioventricular nodal reentry path and the bypass, has not detected exhumation room, diagnosed as SART combined speed syndrome. Mapping in the atrium came down sinoatrial reentrant pathway ablation. In the right atrium and superior vena cava at the junction of fragments recorded in the A transition of a potential for 90, A ferry crossing the starting lead over P 60m, low bit right atrial A transition 65 of barium first one (Figure 1), the department issued radio, Power 2025w ,3-5 seconds 5ART terminated. Junctional rhythm during ablation and sinus rhythm occurred. Part of the interference out of touch, long lost in similar parts of repeated intermittent ablation 3, 25w ,30-60 seconds / second, 5ART not again be induced. Stable sinus rhythm after. Heart rate about 80 times / n. No spontaneous sinus arrest and summer Search SNRT still 4.5 seconds. After the eighth day, SART relapse, re-ablation. After review. Stable sinus rhythm, transesophageal pacing does not induce sinoatrial reentry and sinus of the unit: the first Affiliated Hospital, Suzhou 215006, China Department of Cardiology,[link widoczny dla zalogowanych], n-a-JL - a - a ----JL--/-- ~ - -, JL --- fighting for a fool for a look around a heart attack SA shoulder blade electrophysiological examination records of arrest, SNRT was 1.58 seconds, followed up for 5 months pending dysfunction, secondary pacemaker excitability increase in sinus node function is not easy to see that there are barrier performance. With rapid supraventricular arrhythmias. This comprehensive platform for the discussion of slow fast (1) SART clinical features; 5ART sign. Atrial pacing for the treatment not only improves the sinus rate, sinus tachycardia with very similar. Ventricular rate of unhappiness. Usually they inhibit the ectopic atrial rhythm, as a reasonable treatment. 100-150 Fu / min, with continuous and intermittent seizures made and the speed of the basic rhythm was sinus syndrome for two types of clinically difficult and sinus tachycardia and sinus tachycardia only when (such as atrial fibrillation, atrial flutter, atrial tachycardia, arrhythmia identification. 5ART often sudden onset, sudden sA stare) occur when the attack abruptly terminated long pause then stop, and can be induced by atrial programmed stimulation and final stroke, and with appropriate clinical symptoms, so the heart cardioplegia to stop, carotid sinus pressure are also effective, which can be funded from the super built Kam inhibition,[link widoczny dla zalogowanych], unlike the mechanized units sick sinus symptoms. Do not 5ART RF attack speed is often greater than PR. Induced inhibition of the extent of the individual varies greatly, with tachycardia-off should be consistent: ① P transition form, with the sinus P axis after crossing the accumulation of atrial acetylcholine,[link widoczny dla zalogowanych], receptor sensitization and the same or similar; ② endocardial mapping show atrial activation acetylcholine-sensitive potassium current (I) in order to increase the high right atrium room before the other parts of barium; suppress sinus node function. Therefore, the key for the correct treatment ③ sudden,[link widoczny dla zalogowanych], sudden stop, or induced by atrial stimulation treatment tachycardia. Elimination of overdrive suppression. Without loss of hair or termination of ablation; ④ except for atrioventricular nodal electrophysiological examination as an effective way to double. In this case, after the elimination of 5ART reentry path and the bypass J. (2) SART RF consumer follow-up, sNRT back to normal. Did not stop another long pause financial treatment: It is reported in the literature, radiofrequency ablation of stroke. So that the syndrome should be distinguished from slow speed integrated SART safe and fast with high success rate J, usually in the SART co-sign. Radiofrequency ablation should be used whenever possible attack by the root exciting way mapping, that is in the right atrium and superior vena governance supraventricular tachycardia, pacing a last resort treatment was used intravenous drugs and adjacent parts of earliest atrial activation time mapping. Into treatment. A successful transition block 5ART parts characterized ...: ① ≥ 35 compared with P transition leading pan; ② right atrial A wave than the leading 1 ≥ 20ms; ③ A transition has features of fragmentation potential, the duration of (87 ± 21) one. The mapping of the target feature back in line with them, successfully blocked the sinoatrial reentry. Can not be re-induced SART, stable sinus rhythm and found no complications associated with surgery. (3) the clinical significance of speed syndrome: sick sinus syndrome due to sinoatrial reference text on the Sand ~ WE. Ⅻ RA. eldRA. H. (D ● 【Oh 0fIKBErnodere that day. Twenty dish 【【bar at £ spider also JAmC0IlC bleed at the nose. I9 mistaken,: 926 - ~ 34G0 a JA, MehD. Ⅱ IMN.SIII feast nodere ~ mtBr out aPCE, 1 dragonfly, l8: 1045 -1057 (Received: 199 ~ 03.18 Revised: 1998q) 9-2 (article Editor: Guo Linnie)