Castellanos A, Mayorga-Cortes A, Sung R J, Myerburg R J
Heart Lung. 1976 May-Jun;5(3):462-4.
A false pattern of intermittent complete A-V block was seen in two asymptomatic patients when A-V dissociation was superimposed on a basic 2:1 A-V block. Although the conduction disturbance occurred at the A-V nodal level in both cases, in Case 2 it resembled A-V block due to bilateral or trifascicular disease. This arrhythmia was the end result of Type I (Wenckebach) block and apparently has a better prognosis than those emerging from a Type II (Mobitz) block.
在两名无症状患者中,当房室分离叠加在基本的2:1房室传导阻滞上时,出现了间歇性完全性房室传导阻滞的假性模式。虽然两例的传导障碍均发生在房室结水平,但在病例2中,它类似于双侧或三分支病变所致的房室传导阻滞。这种心律失常是I型(文氏)阻滞的最终结果,其预后显然比II型(莫氏)阻滞所致的心律失常更好。