同一患者出现窦性和房室结折返性心动过速。

Sinus and atrioventricular nodal reentrant tachycardia in the same patient.

作者信息

Paulay K L, Ruskin J N, Damato A N

出版信息

Am J Cardiol. 1975 Nov;36(6):810-6. doi: 10.1016/0002-9149(75)90465-8.

PMID:1199939

Abstract

Sinus and atrioventricular (A-V) nodal reentry are shown to coexist in the same patient, and the following conclusions are drawn: (1) Reentry at one nodal site may mask reentry at the other nodal site, (2) concealed reentry at either site may become manifest reentry under the appropriate conditions, (3) manifest sinus nodal reentry may alternate with manifest A-V nodal reentry, and (4) a Wenckebach type phenomenon manifest in the A-V node and concealed in the sinus node may in some instances be the basis for coexistent sinus and A-V nodal reentry in man.

摘要

窦房结和房室结折返被证明可同时存在于同一患者体内，并得出以下结论：(1) 一个结区的折返可能掩盖另一个结区的折返；(2) 任一部位的隐匿性折返在适当条件下可能转变为显性折返；(3) 显性窦房结折返可能与显性房室结折返交替出现；(4) 在房室结表现为文氏现象而在窦房结隐匿的情况，在某些实例中可能是人类窦房结和房室结折返共存的基础。