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[与病态窦房结综合征相关的传导障碍。15例希氏束电图研究(作者译)]

[Conduction disturbances associated with the sick sinus node syndrome. Study of fifteen cases with His bundle electrogram (author's transl)].

作者信息

Santini M, Dini P, Di Mascolo R, Masini V

出版信息

G Ital Cardiol. 1976 Sep-Oct;6(5):786-91.

PMID:1010213
Abstract

Disturbances in atrioventricular conduction were demonstrated in 17 out of 38 cases of sik sinus node syndrome (MNSA). 14 cases had BAV, in varying degrees, 9 had intraventricular conduction disturbances, 13 had pathological values of A-H, 6 pathological values of H-V, 4 contemporaneous lengthening of A-H and H-V. The ECG and hissian electrogram examinations enabled the identification of the seat and the extension of the conduction disturbance, which was schematized as nodal, nodal and truncular, intraventricular (mono-, bi-, and trifascicular) and diffused. It is possible that the damage to the conduction system associated with MNSA has the same etiology. The frequency of the association of MNSA with conduction disturbances suggests, in the case indicated, the use of a ventricular electrostimulation.

摘要

在38例病态窦房结综合征(SNSA)中,有17例出现房室传导障碍。14例有不同程度的房室传导阻滞,9例有室内传导障碍,13例A-H值异常,6例H-V值异常,4例A-H和H-V同时延长。心电图和希氏束电图检查能够确定传导障碍的部位和范围,其可分为结性、结和干型、室内(单束支、双束支和三束支)和弥漫性。与病态窦房结综合征相关的传导系统损害可能具有相同的病因。在所示病例中,病态窦房结综合征与传导障碍的关联频率提示可使用心室电刺激。

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