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本文引用的文献

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ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons.《美国心脏病学会/美国心脏协会/心律学会2008年心脏节律异常器械治疗指南》：美国心脏病学会/美国心脏协会实践指南工作组（修订ACC/AHA/NASPE 2002年心脏起搏器和抗心律失常器械植入指南更新的写作委员会）报告，与美国胸外科协会和胸外科医师学会合作制定。
J Am Coll Cardiol. 2008 May 27;51(21):e1-62. doi: 10.1016/j.jacc.2008.02.032.
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Prognostic significance of incident complete left bundle branch block observed over a 40-year period.40年期间观察到的新发完全性左束支传导阻滞的预后意义。
Am J Cardiol. 2006 Sep 1;98(5):644-8. doi: 10.1016/j.amjcard.2006.03.044. Epub 2006 Jul 5.
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Bundle branch block patterns, age, renal dysfunction, and heart failure mortality.束支传导阻滞模式、年龄、肾功能不全与心力衰竭死亡率。
Int J Cardiol. 2005 Jul 10;102(2):303-8. doi: 10.1016/j.ijcard.2004.10.008.
4
Woldemar Mobitz and His 1924 classification of second-degree atrioventricular block.沃尔德马尔·莫氏及他在1924年对二度房室传导阻滞的分类。
Circulation. 2004 Aug 31;110(9):1162-7. doi: 10.1161/01.CIR.0000140669.35049.34.
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Walter Gaskell and the understanding of atrioventricular conduction and block.沃尔特·加斯克尔与房室传导和阻滞的理解
J Am Coll Cardiol. 2002 May 15;39(10):1574-80. doi: 10.1016/s0735-1097(02)01839-9.
6
Luigi Luciani and the earliest graphic demonstration of Wenckebach periodicity.路易吉·卢恰尼与文氏周期的最早图形演示。
Circulation. 2000 Jun 6;101(22):2662-8. doi: 10.1161/01.cir.101.22.2662.
7
The Wenckebach phenomenon: a salute and comment on the centennial of its original description.文氏现象：对其最初描述一百周年的致敬与评论
Ann Intern Med. 1999 Jan 5;130(1):58-63. doi: 10.7326/0003-4819-130-1-199901050-00011.
8
Value of the H-Q interval in patients with bundle branch block and the role of prophylactic permanent pacing.束支传导阻滞患者中H-Q间期的价值及预防性永久起搏的作用。
Am J Cardiol. 1982 Dec;50(6):1316-22. doi: 10.1016/0002-9149(82)90469-6.

1型房室传导阻滞的异常起源及对文氏贡献的评论

Unusual origin of type 1 atrioventricular block with comments on Wenckebach's contribution.

作者信息

Tandon Anumeha, Simpson Leo, Assar Manish D

机构信息

Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas.

出版信息

Proc (Bayl Univ Med Cent). 2011 Jan;24(1):9-12. doi: 10.1080/08998280.2011.11928674.

DOI:10.1080/08998280.2011.11928674
PMID:21307969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3012282/
Abstract

We present a case that demonstrates the rare occurrence of type 1 second-degree atrioventricular block (Wenckebach or Mobitz type 1 block) as a result of block in the infranodal conduction system. This extremely rare occurrence often predicts progression to complete heart block and necessitates cardiac pacing. It also demonstrates the value of an electrophysiological study and exercise stress testing to identify the level of block, predict prognosis, and plan a management strategy.

摘要

我们报告一例因结下传导系统阻滞导致罕见的1型二度房室传导阻滞（文氏或莫氏1型阻滞）的病例。这种极为罕见的情况常预示着会进展为完全性心脏传导阻滞，需要进行心脏起搏治疗。它还证明了电生理研究和运动负荷试验在确定阻滞部位、预测预后以及制定管理策略方面的价值。