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预激综合征。问题、评估及手术矫正。

Wolff-Parkinson-White syndrome. The problem, evaluation, and surgical correction.

作者信息

Gallagher J J, Gilbert M, Svenson R H, Sealy W C, Kasell J, Wallace A G

出版信息

Circulation. 1975 May;51(5):767-85. doi: 10.1161/01.cir.51.5.767.

DOI:10.1161/01.cir.51.5.767
PMID:1122580
Abstract

Physiological studies of the type we have described, when performed in patients with the WPW syndrome, can yield diagnostic information regarding the mechanism of arrhythmia, demonstrate functional properties of therapeutic import, facilitate therapeutic decision-making about drug regimens and presumptively localize the site of pre-excitation as a basis for possible surgical intervention. Based on our experience, we feel that in selected patients, surgical correction of the WPW syndrome is entirely feasible, and can be accomplished in the majority of patients in whom free wall A-V connections are present. The continuing challenge of identification and correction of septal accessory pathways directs our present work with the WPW syndrome.

摘要

我们所描述的这类生理学研究,在预激综合征患者中进行时,可产生有关心律失常机制的诊断信息,证明具有治疗意义的功能特性,有助于就药物治疗方案做出治疗决策,并推测性地确定预激部位,作为可能进行手术干预的依据。根据我们的经验,我们认为,对于选定的患者,预激综合征的手术矫正完全可行,并且在大多数存在游离壁房室连接的患者中都可以完成。识别和矫正间隔旁道的持续挑战指导着我们目前对预激综合征的研究工作。

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