Wellens Hein J J
Interuniversity Cardiology Institute of The Netherlands, Utrecht, The Netherlands.
J Cardiovasc Electrophysiol. 2003 Sep;14(9):1020-5. doi: 10.1046/j.1540-8167.2003.03282.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 the pathway of a supraventricular tachycardia and to obtain insight into the mechanism of the tachycardia. Information from these studies has been the basis for the development of new therapies, such as arrhythmia surgery, antitachycardia pacing, and catheter ablation. Correlation of intracardiac findings with the 12-lead ECG recorded during the tachycardia resulted in the recognition of ECG patterns characteristic of the different types of supraventricular tachycardias. Currently, gross localization of the site of origin of the arrhythmia is based on the 12-lead ECG recorded during the arrhythmia, with fine-tuning using intracardiac activation mapping and pacing. These developments during the past 3 decades have made accurate arrhythmia diagnosis possible and allow us to offer curative therapies to many of our patients with 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的机制成为可能。这些研究所得出的信息一直是诸如心律失常外科手术、抗心动过速起搏和导管消融等新疗法得以发展的基础。将心动过速发作时的心内检查结果与同步记录的12导联心电图相关联，促成了不同类型室上性心动过速特征性心电图模式的识别。目前，心律失常起源部位的大致定位基于心律失常发作时记录的12导联心电图，再用心内激动标测和起搏进行微调。过去30年里的这些进展使准确的心律失常诊断成为可能，并使我们能够为许多室上性心动过速患者提供根治性治疗。
