Aleksi-Meskhishvili V V, Avrutskaia G Ia
Kardiologiia. 1975 Jan;15(1):85-92.
Case-histories and ECG of 23 patients with congenital atrio-ventricular heart block were studied. Most of these were up to 14 years old. In 10 of these patients concomitant congenital cardiac defects were uncovered which in 7 cases were combined with a corrected transposition of the major vessels. A relationship between the localization of the ventricular pacemaker and the clinical picture of the disease. The attacks of the Morgagni-Adams-Stocks disease were, as a rule, observed in patients with the ventricular pacemaker located beneath the bundle of His bifurcation, which manifested itself on the ECG by deformation and broadening of the QRS complex in the form of a complete or incomplete block of one or both of the bundle of His crura. Most patients with circulatory insufficiency suffered from severe concomitant congential cardiac failures or from frequent attacks of the Morgagni-Adams-Stocks disease.
对23例先天性房室传导阻滞患者的病历和心电图进行了研究。其中大多数患者年龄在14岁以下。在这些患者中，有10例发现合并有先天性心脏缺陷，其中7例合并有大血管转位矫正。心室起搏器的定位与疾病临床表现之间的关系。通常，在心室起搏器位于希氏束分叉下方的患者中观察到莫加尼-亚当斯-斯托克斯病发作，这在心电图上表现为希氏束一支或两支完全或不完全阻滞形式的QRS波群变形和增宽。大多数循环功能不全的患者患有严重的合并先天性心力衰竭或频繁发作莫加尼-亚当斯-斯托克斯病。
