Silverman Mark E, Upshaw Charles B, Lange Helmut W
Department of Medicine, Emory University, Atlanta, Ga, USA.
Circulation. 2004 Aug 31;110(9):1162-7. doi: 10.1161/01.CIR.0000140669.35049.34.
Woldemar Mobitz, an early 20th century German internist, analyzed arrhythmias by graphing the relationship of changing atrial rates and premature beats to AV conduction. Through an astute mathematical approach, he was able to classify second-degree atrioventricular block into 2 types, subsequently referred to as Mobitz type I (Wenckebach) and Mobitz type II (Hay). Type I AV block was most often due to digitalis and was reversible. There were no associated pathological findings. Type II AV block frequently progressed to complete AV block and was associated with seizures, death, and pathological findings.
20世纪初的德国内科医生沃尔德马尔·莫氏通过绘制心房率变化和早搏与房室传导的关系来分析心律失常。通过敏锐的数学方法,他能够将二度房室传导阻滞分为2种类型,随后分别称为莫氏I型(文氏现象)和莫氏II型(海氏现象)。I型房室传导阻滞最常见的原因是洋地黄,且是可逆的。没有相关的病理发现。II型房室传导阻滞常进展为完全性房室传导阻滞,并与癫痫发作、死亡及病理发现相关。