Critelli G, Chiariello M, Maione S, Perticone F, Ferro G, Condorelli M
Arch Mal Coeur Vaiss. 1978 Jul;71(7):831-5.
A case is described of permanent atrial paralysis in a 68 year old female with diabetes and cirrhosis of the liver. Absence of electrical atrial activity was expected on the standard electrocardiogram, and confirmed by intracavitary electrophysiological investigation which showed the ineffectiveness of stimulation of both the right atrium and the coronary sinus. Recording of the His potentials showed that the resultant rhythm was of supra-ventricular origin. The absence of mechanical atrial activity was confirmed radiographically, on the jugular venogram, on the apexogram, and on the tracings of right atrial and pulmonary capillary pressure. A search was made for muscular or neuromuscular dystrophy which has often been found in association with this arrhythmia, but none was found. There may be an etio-pathological relationship between carbohydrate metabolism and atrial paralysis, as certain authors have suggested.
本文描述了一例68岁患有糖尿病和肝硬化的女性永久性心房麻痹病例。标准心电图显示心房无电活动，并经心腔内电生理检查证实，该检查表明刺激右心房和冠状窦均无效。希氏束电位记录显示，由此产生的心律起源于室上性。通过X线造影、颈静脉造影、心尖搏动图以及右心房和肺毛细血管压力描记图证实心房无机械活动。对常与这种心律失常相关的肌肉或神经肌肉营养不良进行了排查，但未发现此类情况。正如某些作者所指出的，碳水化合物代谢与心房麻痹之间可能存在病因病理关系。
