Wellens Hein J J
Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands.
Pacing Clin Electrophysiol. 2003 Sep;26(9):1916-22. doi: 10.1046/j.1460-9592.2003.00295.x.
The introduction of programmed electrical stimulation of the heart and intracardiac activation mapping 35 years ago made it possible to study the site of origin or pathway of a supraventricular tachycardia and to gain insight into the tachycardic mechanism. Information from these studies has been the basis for the development of new therapies, like arrhythmia surgery, antitachycardia pacing, and catheter ablation. The correlation of intracardiac findings with the 12-lead ECG during the tachycardia resulted in the recognition of characteristic ECG patterns for the different types of supraventricular tachycardias. Currently, gross localization of the site of origin of the arrhythmia is based on the 12-lead ECG during the arrhythmia with fine tuning using intracardiac activation mapping and pacing. These developments during the past 3 decades make accurate arrhythmia diagnosis possible and allow us to offer curative therapies to many of patients suffering from a supraventricular tachycardia.
35年前心脏程控电刺激和心内激动标测技术的引入，使得研究室上性心动过速的起源部位或传导途径以及深入了解心动过速机制成为可能。这些研究所得出的信息一直是诸如心律失常手术、抗心动过速起搏和导管消融等新疗法发展的基础。心动过速期间心内检查结果与12导联心电图的相关性，使得人们认识到不同类型室上性心动过速的特征性心电图模式。目前，心律失常起源部位的大致定位基于心律失常发作时的12导联心电图，并通过心内激动标测和起搏进行微调。过去30年中的这些进展使得准确的心律失常诊断成为可能，并使我们能够为许多患有室上性心动过速的患者提供治愈性疗法。
