希氏束以下完全性传导阻滞、预激综合征和莫氏Ⅱ型肯特束阻滞并存。

Coexistence of complete infra-Hisian block, WPW syndrome and Mobitz type II Kent Bundle block.

作者信息

Mossuti E, Elia F, Martello G, Brancati B

机构信息

Divisione di Cardiologia, Ospedale Umberto I, Siracusa, Italy.

出版信息

Pacing Clin Electrophysiol. 1990 Dec;13(12 Pt 1):1563-6. doi: 10.1111/j.1540-8159.1990.tb06853.x.

DOI:10.1111/j.1540-8159.1990.tb06853.x

PMID:1704504

Abstract

A 65-year-old patient with a chief complaint of syncope had an ECG with ventricular preexcitation and intermittent second-degree atrioventricular (AV) block. AV conduction was maintained by the accessory pathway only, with no evidence of AV nodal conduction. Electrophysiological study demonstrated that the QRS duration and morphology did not increase with atrial pacing; however, A-H prolongation occurred with increased pacing rates.

摘要

一名65岁以晕厥为主诉的患者，其心电图显示有室性预激和间歇性二度房室传导阻滞。房室传导仅通过旁路维持，无房室结传导证据。电生理研究表明，心房起搏时QRS波时限和形态未增加；然而，随着起搏频率增加，A-H间期延长。