Electrophysiology

電生理知識Training培訓(xùn)7/31/20231BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsElectrophysiology

電生理知識Trainin培訓(xùn)內(nèi)容Theanatomyoftheheart

心臟解剖結(jié)構(gòu)Theelectricalconductionsystem

電傳導(dǎo)途徑TheEPprocedure電生理手術(shù)過程TheEPcatheter電生理導(dǎo)管簡介TheBiosenseWebsterproductportfolioBW產(chǎn)品綜述7/31/20232BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions培訓(xùn)內(nèi)容Theanatomyoftheheart電生理培訓(xùn)（一）心臟解剖結(jié)構(gòu)、電傳導(dǎo)路徑導(dǎo)管定位7/31/20233BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions電生理培訓(xùn)（一）心臟解剖結(jié)構(gòu)、電傳導(dǎo)路徑7/31/20233AnatomyoftheHeartArrhythmias位置

大小

心臟7/31/20234BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsAnatomyofA左室冠狀竇右室左房右房左下肺靜脈左上肺靜脈左上肺靜脈左下肺靜脈左室上腔靜脈主動脈弓下腔靜脈7/31/20235BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions左室冠狀竇右室左房右房左下肺靜脈左上肺靜脈左上肺靜脈左下肺靜7/31/20236BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions7/31/20236BiosenseWebsterEP卵圓窩房間隔主動脈界嵴7/31/20237BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions卵圓窩房間隔主動脈界嵴7/31/20237Biosense三尖瓣肺動脈室間隔7/31/20238BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions三尖瓣肺動脈室間隔7/31/20238BiosenseWe二尖瓣7/31/20239BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions二尖瓣7/31/20239BiosenseWebster循環(huán)系統(tǒng)7/31/202310BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions循環(huán)系統(tǒng)7/31/202310BiosenseWebsteRightcoronaryartery

右冠posteriordescendingartery后降支Leftcoronaryartery

左冠LAD前降支Circumflexanditsmarginal

回旋支CORONARYCIRCULATION冠狀動脈循環(huán)系統(tǒng)ARTERIALSUPPLY

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PRIntervalQRSSTSegmentPT7/31/202322BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsPwave-AtrialDepolarisat7/31/202323BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions7/31/202323BiosenseWebsterEPPPwave-AtrialDepolarisationQRS-VentricularDepolarisationPRintervalSTsegmentTwave

PRIntervalQRSSTSegmentT7/31/202324BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsPPwave-AtrialDepolaris7/31/202325BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions7/31/202325BiosenseWebsterEPPQPRIntervalRSSTSegmentPwave

-AtrialDepolarisationQRS

-VentricularDepolarisation

PRinterval-timetakenfortheimpulsetobeconductedfromtheSAnodetojustbeforeventriculardepolarizationSTsegmentTwave

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-AtrialDepolarisationQRS

-VentricularDepolarisation

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-AtrialDepolarisationQRS

-VentricularDepolarisation

PRinterval-timetakenfortheimpulsetobeconductedfromtheSAnodetothePurkinjieSTsegment-BeginningofVentricularRepolarisationTwave-VentricularRepolarisation(Recovery)

PRIntervalQRSSTSegmentT7/31/202329BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsPPwave-AtrialDepolarisRepolarizationorRecovery7/31/202330BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsRepolarizationorRecovery7/31心電傳導(dǎo)路徑如何測量這些時間距離(PA,AH,HV)?靠近相應(yīng)這些位置獲得其心內(nèi)心電信號，并同其他部位的信號相比較。Standardvalues希氏束房室節(jié)竇房節(jié)ECG7/31/202331BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions心電傳導(dǎo)路徑如何測量這些時間距離(PA,AH,HV)?如何到達(dá)這些傳導(dǎo)位置?利用電生理標(biāo)測導(dǎo)管:最早激動位置:竇房結(jié) HRA希氏束電位：希氏束 HBE最晚電位：心室心尖 RVA

左房電位/

左室電位冠狀竇 CS7/31/202332BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions如何到達(dá)這些傳導(dǎo)位置?利用電生理標(biāo)測導(dǎo)管:7/31/2023常規(guī)電生理標(biāo)測過程RAOLAOPA右室心尖電極冠狀竇電極希氏束電極高位右房電極7/31/202333BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositions常規(guī)電生理標(biāo)測過程RAOLAOPA右室心尖電極冠狀竇電極希氏X光透視圖（右前斜位）RAO7/31/202334BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsX光透視圖（右前斜位）RAO7/31/202334BioseLAOX光透視圖（左前斜位）7/31/202335BiosenseWebsterEPTraining2003PartAnatomy,ConductionSystem,andCatheterPositionsLAOX光透視圖（左前斜位）7/31/202335Biose典型心內(nèi)心電圖記錄SurfaceECG