Shumakov V I, Khubutiia A Sh, Selezneva E A, Oleĭnikova L G, Kazakov E N, Mkervali N G, Kormer A Ia, Kolpakov E V, Giorgadze O A
Kardiologiia. 1991 May;31(5):38-40.
Holter monitoring was performed in 15 patients surviving over 3 months after homotopic cardiac transplantation. The frequency and types of arrhythmias occurring in the grafted innervated heart were studied according to its postoperative period duration. The follow-up lasted 3 to 29 months. Supraventricular arrhythmias were detected in 80%, whereas ventricular ones were found in 86.7%. Ventricular arrhythmias accompanied chronic graft rejection in 2 patients. It was ascertained that Holter monitoring was of greater diagnostic value than routine ECG recording. Innervation is not essential in the occurrence of cardiac arrhythmias.
对15例心脏原位移植术后存活超过3个月的患者进行了动态心电图监测。根据移植心脏术后时间，研究了移植后有神经支配心脏中发生的心律失常的频率和类型。随访持续3至29个月。80%的患者检测到室上性心律失常，而86.7%的患者发现室性心律失常。2例患者的室性心律失常伴有慢性移植物排斥反应。已确定动态心电图监测比常规心电图记录具有更大的诊断价值。神经支配在心律失常的发生中并非必不可少。
