心脏电生理检查和射频消融1

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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
Cardiac Electrophysiology
• Cellular Cardiac Electrophysiology • Experimental Cardiac Electrophysiology • Clinical Cardiac Electrophysiology
心脏电生理的历史
1791:Galvani discovers that electrical stimulation of a frog's heart leads to muscular contraction
Carlo Matteucci
心脏电生理的历史
心脏电生理的历史
British physiologist Augustus D. Waller of St Mary's Medical School, London publishes the first human electrocardiogram. It is recorded with a capilliary electrometer from Thomas Goswell, a technician in the laboratory. Waller AD. A demonstration on man of electromotive changes accompanying the heart's beat. J Physiol (London) 1887;8:229234
• to diagnose the source of symptoms • to evaluate the risk of future cardiac
events • to evaluate the effectiveness of medication
in controlling an arrhythmia • to evaluate the need for a permanent
Clinical Cardiac Electrophysiology
• Clinical Cardiac Electrophysiology is a field within cardiology
• involves complicated technical procedures to evaluate heart rhythms
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
William Gilbert (1544-1603)
performed important early studies of electricity and magnetism. In De Magnete (1600), he was the first to describe the earth's magnetic field and to postulate the relationship between electricity and magnetism. He introduced the term electricity into scientific discourse.
pacemaker, an implantable cardioverterdefibrillator, or radiofrequency catheter ablation as a treatment for arrhythmia.
Radiofrequency Catheter ablation
• involves placing cardiac electrode catheters within or near the heart to determine the characteristics of heart rhythm or arrhythmia
EP studies may be helpful in:
心脏电生理的历史
心脏电生理的历史
心脏电生理的历史
心脏电生理的历史
• Einthoven
– 1893年提出了心电图 ‘Electrocardiogram’ 的命名, 建立肢体导联
– 发现心电图包括P, Q, R, S和 T波
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
You can pick up a feather after rubbing amber with wool which were observed even in ancient Greece
心脏电生理的历史
Luigi Galvani, 1737-1798 Italian physicist and anatomist and was one of the first to investigate experimentally the phenomenon of what came to be named "bioelectrogenesis".
• And provide appropriate treatment for rhythm disturbances
Cardiac Electrophysiology Study
• EPS of the heart is a non-surgical analysis of the electrical conduction system (normal or abnormal) of the heart.
• RFCA – A catheter procedure that uses electrical current to generate heat to destroy the fast irregular heartbeats
心脏功能
心脏功能
心脏解剖
Βιβλιοθήκη Baidu
心脏解剖
心脏解剖
心脏解剖
心脏解剖
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