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[阵发性交界性心动过速中隐匿性房室旁道的发生率]

[The incidence of concealed accessory atrioventricular pathways in paroxysmal junctional tachycardias].

作者信息

Gilgenkrantz J M, Perrot B, Saulnier J P, Aliot E

出版信息

Arch Mal Coeur Vaiss. 1979 Jul;72(7):697-705.

PMID:117767
Abstract

Forty patients with normal resting ECGs and a history of paroxysmal junctional tachycardia underwent endocavitory electrocardiography. Accessory atrioventricular pathways were demonstrated in 34 patients (82.5%), 14 of whom (35%) had Kent bundles. The ventriculo-atrial conduction time during ventricular stimulation was constantin 85% of the 40 patients but increased after injection of striadyne (ATP). This may suggest a reentry circuit partially bypassing the atrioventricular node.

摘要

40例静息心电图正常且有阵发性交界性心动过速病史的患者接受了心腔内心电图检查。34例(82.5%)患者显示有房室旁路,其中14例(35%)有肯特束。在40例患者中,85%的患者在心室刺激时室房传导时间恒定,但注射三磷酸腺苷(ATP)后延长。这可能提示存在部分绕过房室结的折返环路。

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