Probst P
Z Kardiol. 1975 Oct;64(10):926-33.
A method for the evaluation of patients with severe conduction disturbances who might develop Adams-Stokes attacks or total A-V block is described. In 9 patients with conduction disturbances a "stress test" of the conduction system with small dosis of Ajmalin was performed. In 2 patients a higher degree of A-V block developed (2: 1 block, total A-V block). These patients were considered as candidates for prophylactic pacemakerinsertion. During this procedure a temporary pacemaker electrode has to be put into the right ventricle to provide saftey for the patient.
本文描述了一种评估可能发生阿-斯综合征或完全性房室传导阻滞的严重传导障碍患者的方法。对9例有传导障碍的患者进行了小剂量阿马林对传导系统的“应激试验”。2例患者出现了更高程度的房室传导阻滞(2∶1阻滞、完全性房室传导阻滞)。这些患者被视为预防性植入起搏器的候选对象。在此过程中,必须将临时起搏器电极置入右心室,以保障患者安全。