Cosío F G, Anderson R H, Kuck K H, Becker A, Borggrefe M, Campbell R W, Gaita F, Guiraudon G M, Haïssaguerre M, Rufilanchas J J, Thiene G, Wellens H J, Langberg J, Benditt D G, Bharati S, Klein G, Marchlinski F, Saksena S
Cardiology Service, Hospital Universitario de Getafe, Carretera de Toledo, km 12,5, 28905 Getafe, Madrid, Spain.
Circulation. 1999 Aug 3;100(5):e31-7. doi: 10.1161/01.cir.100.5.e31.
Current nomenclature for the atrioventricular (AV) junctions derives from a surgically distorted view, placing the valvar rings and the triangle of Koch in a single plane with antero-posterior and right-left lateral coordinates. Within this convention, the aorta is considered to occupy an anterior position, although the mouth of the coronary sinus is shown as being posterior. Although this nomenclature has served its purpose for the description and treatment of arrhythmias dependent on accessory pathways and atrioventricular nodal reentry, it is less than satisfactory for the description of atrial and ventricular mapping. To correct these deficiencies, a consensus document has been prepared by experts from the Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. It proposes a new anatomically sound nomenclature that will be applicable to all chambers of the heart. In this report, we discuss its value for description of the AV junctions, establishing the principles of this new nomenclature.
目前房室（AV）交界区的命名源自手术造成的扭曲视角，将瓣膜环和科赫三角置于具有前后和左右侧向坐标的单一平面内。在这个惯例中，主动脉被认为占据前方位置，尽管冠状窦口显示为位于后方。尽管这种命名法在描述和治疗依赖于旁路和房室结折返的心律失常方面发挥了作用，但在描述心房和心室标测时却不尽人意。为纠正这些不足，欧洲心脏病学会心律失常工作组和北美起搏与电生理学会的专家们编写了一份共识文件。它提出了一种新的解剖学上合理的命名法，该命名法将适用于心脏的所有腔室。在本报告中，我们讨论其在描述房室交界区方面的价值，确立这种新命名法的原则。
