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调节束起源室性心律失常的研究进展

沈瑞环 邹彤

沈瑞环, 邹彤. 调节束起源室性心律失常的研究进展[J]. 心脏杂志, 2023, 35(1): 102-105. doi: 10.12125/j.chj.202111108
引用本文: 沈瑞环, 邹彤. 调节束起源室性心律失常的研究进展[J]. 心脏杂志, 2023, 35(1): 102-105. doi: 10.12125/j.chj.202111108
Rui-huan SHEN, Tong ZOU. Research progress on ventricular arrhythmia originating from moderator band[J]. Chinese Heart Journal, 2023, 35(1): 102-105. doi: 10.12125/j.chj.202111108
Citation: Rui-huan SHEN, Tong ZOU. Research progress on ventricular arrhythmia originating from moderator band[J]. Chinese Heart Journal, 2023, 35(1): 102-105. doi: 10.12125/j.chj.202111108

调节束起源室性心律失常的研究进展

doi: 10.12125/j.chj.202111108
基金项目: 北京市科委重大科技项目资助(Z171100001017203, D181100000218005)
详细信息
    作者简介:

    沈瑞环,博士生 Email: srhygjdm@sina.com

    通讯作者:

    邹彤,主任医师,主要从事心律失常及心力衰竭的临床和研究 Email: zoutong2001@163.com

  • 中图分类号: R541.7

Research progress on ventricular arrhythmia originating from moderator band

  • 摘要: 调节束是一个位于右室心腔内的条索状肌性结构,两端分别延伸至右室前间隔流入道下缘和右室游离壁前乳头肌根部,其内有右束支通过。越来越多的研究指出调节束可能是无结构性心脏病变病人室性心律失常的起源之一。起源于此的室性心律失常常表现为室性期前收缩或室性心动过速。此外,某些触发多形性室速和特发性室颤(idiopathic ventricular fibrillation, IVF)的短联律间期室早也被发现起源于调节束,而消融这些室性心律失常能有效预防室颤复发,因此,有效识别相应的心电图异常并及时予以消融可能是治疗IVF的新靶点。目前,调节束导致心律失常的确切机制仍存争议,本文就调节束起源的室性心律失常的流行病学、解剖生理、发病机制、心电图特征与消融治疗的研究进展进行综述,为研究、预防和治疗调节束起源的室性心律失常提供参考。

     

  • [1] Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society[J]. Circulation, 2018, 138(13): e272 – e391. doi: 10.1161/CIR.0000000000000549
    [2] Haïssaguerre M, Shoda M, Jaïs P, et al. Mapping and ablation of idiopathic ventricular fibrillation[J]. Circulation, 2002, 106(8): 962 – 967. doi: 10.1161/01.CIR.0000027564.55739.B1
    [3] Viskin S, Rosso R, Rogowski O, et al. The "short-coupled" variant of right ventricular outflow ventricular tachycardia: a not-so-benign form of benign ventricular tachycardia?[J]. J Cardiovasc Electrophysiol, 2005, 16(8): 912 – 916. doi: 10.1111/j.1540-8167.2005.50040.x
    [4] Haïssaguerre M, Shah DC, Jaïs P, et al. Role of Purkinje conducting system in triggering of idiopathic ventricular fibrillation[J]. Lancet, 2002, 359(9307): 677 – 678. doi: 10.1016/S0140-6736(02)07807-8
    [5] Nakamura T, Schaeffer B, Tanigawa S, et al. Catheter ablation of polymorphic ventricular tachycardia/fibrillation in patients with and without structural heart disease[J]. Heart Rhythm, 2019, 16(7): 1021 – 1027. doi: 10.1016/j.hrthm.2019.01.032
    [6] Anter E, Buxton AE, Silverstein JR, et al. Idiopathic ventricular fibrillation originating from the moderator band[J]. J Cardiovasc Electrophysiol, 2013, 24(1): 97 – 100. doi: 10.1111/j.1540-8167.2012.02374.x
    [7] Sadek MM, Benhayon D, Sureddi R, et al. Idiopathic ventricular arrhythmias originating from the moderator band: Electrocardiographic characteristics and treatment by catheter ablation[J]. Heart Rhythm, 2015, 12(1): 67 – 75. doi: 10.1016/j.hrthm.2014.08.029
    [8] Nogami A, Sugiyasu A, Kubota S, et al. Mapping and ablation of idiopathic ventricular fibrillation from the Purkinje system[J]. Heart Rhythm, 2005, 2(6): 646 – 649. doi: 10.1016/j.hrthm.2005.02.006
    [9] Russo AM. PVCs arising from the moderator band: an under-recognized trigger for idiopathic VF?[J]. Heart Rhythm, 2015, 12(1): 76 – 77. doi: 10.1016/j.hrthm.2014.10.001
    [10] Cabrera JA, Sánchez-Quintana D. Cardiac anatomy: what the electrophysiologist needs to know[J]. Heart, 2013, 99(6): 417 – 431. doi: 10.1136/heartjnl-2011-301154
    [11] Loukas M, Klaassen Z, Tubbs RS, et al. Anatomical observations of the moderator band[J]. Clin Anat, 2010, 23(4): 443 – 450. doi: 10.1002/ca.20968
    [12] Bojsen-Moller F, Tranum-Jensen J. On nerves and nerve endings in the conducting system of the moderator band (septomarginal trabecula)[J]. J Anat, 1971, 108(Pt 3): 387 – 395.
    [13] De Almeida MC, Stephenson RS, Anderson RH, et al. Human subpulmonary infundibulum has an endocardial network of specialized conducting cardiomyocytes[J]. Heart Rhythm, 2020, 17(1): 123 – 130. doi: 10.1016/j.hrthm.2019.07.033
    [14] Hansen DE, Craig CS, Hondeghem LM. Stretch-induced arrhythmias in the isolated canine ventricle. Evidence for the importance of mechanoelectrical feedback[J]. Circulation, 1990, 81(3): 1094 – 1105. doi: 10.1161/01.CIR.81.3.1094
    [15] Kamkin A, Kiseleva I, Isenberg G. Stretch-activated currents in ventricular myocytes: amplitude and arrhythmogenic effects increase with hypertrophy[J]. Cardiovasc Res, 2000, 48(3): 409 – 420. doi: 10.1016/S0008-6363(00)00208-X
    [16] Xie Y, Sato D, Garfinkel A, et al. So little source, so much sink: requirements for afterdepolarizations to propagate in tissue[J]. Biophys J, 2010, 99(5): 1408 – 1415. doi: 10.1016/j.bpj.2010.06.042
    [17] Walton RD, Pashaei A, Martinez ME, et al. Compartmentalized structure of the moderator band provides a unique substrate for macroreentrant ventricular tachycardia[J]. Circ Arrhythm Electrophysiol, 2018, 11(8): e005913. doi: 10.1161/CIRCEP.117.005913
    [18] Enriquez A, Baranchuk A, Briceno D, et al. How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias[J]. Heart Rhythm, 2019, 16(10): 1538 – 1544. doi: 10.1016/j.hrthm.2019.04.002
    [19] Jiang CX, Long DY, Li MM, et al. Evidence of 2 conduction exits of the moderator band: Findings from activation and pace mapping study[J]. Heart Rhythm, 2020, 17(11): 1856 – 1863. doi: 10.1016/j.hrthm.2020.06.014
    [20] Ho RT, Frisch DR, Greenspon AJ. Idiopathic ventricular fibrillation ablation facilitated by pentaray mapping of the moderator band[J]. JACC Clin Electrophysiol, 2017, 3(3): 313 – 314. doi: 10.1016/j.jacep.2016.08.006
    [21] Li JY, Jiang JB, He Y, et al. Ventricular tachycardia originating from moderator band: new perspective on catheter ablation[J]. Case Rep Cardiol, 2017, 2017: 3414360. doi: 10.1155/2017/3414360
    [22] Li YQ, Wang YX, Que DD, et al. Successful ablation of moderator band-originated ventricular tachycardia at its ventricle insertion sites[J]. Chin Med J (Engl), 2018, 131(11): 1371 – 1372. doi: 10.4103/0366-6999.232807
    [23] Chinitz JS, Sedaghat D, Harding M, et al. Adjuvant use of a cryoballoon to facilitate ablation of premature ventricular contraction-triggered ventricular fibrillation originating from the moderator band[J]. HeartRhythm Case Rep, 2019, 5(12): 578 – 581. doi: 10.1016/j.hrcr.2019.09.001
    [24] 蒋晨曦, 马长生, 龙德勇, 等. 右心室前乳头肌和调节束结合部起源室性心律失常的心电图和心内电生理特点[J]. 中国介入心脏病学杂志, 2020, 28(10): 547 – 552. doi: 10.3969/j.issn.1004-8812.2020.10.002
    [25] Barber M, Chinitz J, John R. Arrhythmias from the right ventricular moderator band: diagnosis and management[J]. Arrhythm Electrophysiol Rev, 2020, 8(4): 294 – 299. doi: 10.15420/aer.2019.18
    [26] Knecht S, Sacher F, Wright M, et al. Long-term follow-up of idiopathic ventricular fibrillation ablation: a multicenter study[J]. J Am Coll Cardiol, 2009, 54(6): 522 – 528. doi: 10.1016/j.jacc.2009.03.065
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出版历程
  • 收稿日期:  2021-11-25
  • 录用日期:  2022-04-09
  • 修回日期:  2022-01-16
  • 刊出日期:  2023-02-25

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