Seipel L, Both A, Loogen F
Klin Wochenschr. 1975 Jun 1;53(11):499-507. doi: 10.1007/BF01468754.
Methodical problems, indication and clinical implication of His bundle electrography are discussed. In 200 successive patients undergoing His bundle electrography and atrial stimulation the indication was as follows: Intraventricular conduction defects in 24%, A-V block in 21%, sick sinus syndrome in 20%, preexcitation in 17%, and complex arrhythmias in the remaining cases. In 38% of the patients did the HBE prove to be of help by providing information not available after analysis of the surface ECG. In 22% this technique contributed essentially to the management of these patients. In spite of dificiencies of our knowledge of the basic mechanisms, specific therapy, and prognosis of various arrhythmias His bundle electrography is clinically useful in selected patients. Therefore, this method has become a routinely used clinical tool.
讨论了希氏束电图的方法学问题、适应证及临床意义。在连续200例接受希氏束电图检查和心房刺激的患者中，适应证如下：室内传导阻滞占24%，房室传导阻滞占21%，病态窦房结综合征占20%，预激占17%，其余病例为复杂心律失常。在38%的患者中，希氏束电图通过提供体表心电图分析后无法获得的信息而被证明是有帮助的。在22%的患者中，该技术对这些患者的治疗起到了重要作用。尽管我们对各种心律失常的基本机制、特异性治疗和预后的认识存在不足，但希氏束电图在特定患者中具有临床实用性。因此，该方法已成为一种常规使用的临床工具。
