Atié J, Brugada P, Brugada J, Smeets J L, Cruz F S, Peres A, Roukens M P, Wellens H J
Department of Cardiology, University of Limburg, Academic Hospital, Maastricht, The Netherlands.
Am J Cardiol. 1990 Nov 1;66(15):1082-91. doi: 10.1016/0002-9149(90)90509-y.
Antidromic circus movement tachycardia was documented in 36 of 345 consecutive patients with Wolff-Parkinson-White syndrome undergoing detailed electrophysiologic evaluation. Twenty-six patients were men and 10 were women (mean age +/- standard deviation 26 +/- 12 years [range 12 to 45]). Multiple accessory pathways were identified in 12 of these 36 patients (33%). Ten of the patients (67%) with clinically documented antidromic tachycardia had multiple accessory pathways. Dizziness and syncope occurred in 61 and 50% of patients with antidromic circus movement tachycardia. Six patients had clinical documentation of atrial fibrillation, and 4 patients (11%) were resuscitated from ventricular fibrillation. In the 36 patients, 56 distinct antidromic tachycardias were recorded and several different pathways were observed. Orthodromic tachycardia was the most frequently associated arrhythmia (72%). Dual atrioventricular nodal pathways were present in 12 patients (33%); however, atrioventricular nodal tachycardia could be initiated in only 2 of them. Interruption of the accessory pathway was successfully performed in all 20 patients undergoing surgery.
在345例接受详细电生理评估的预激综合征患者中，有36例记录到逆向型折返性心动过速。26例为男性，10例为女性（平均年龄±标准差26±12岁[范围12至45岁]）。这36例患者中有12例（33%）发现多条旁路。在临床记录到逆向型心动过速的患者中，10例（67%）有多条旁路。逆向型折返性心动过速患者中分别有61%和50%出现头晕和晕厥。6例患者有房颤的临床记录，4例患者（11%）从室颤中复苏。在这36例患者中，记录到56次不同的逆向型心动过速，并观察到几条不同的旁路。顺向型心动过速是最常见的相关心律失常（72%）。12例患者（33%）存在双房室结通路；然而，其中只有2例能诱发房室结性心动过速。在所有20例接受手术的患者中，旁路均成功被阻断。
