Almendral Jesús
Cardiac Arrhythmia Unit, Grupo Hospital de Madrid, Universidad CEU-San Pablo, Madrid, Spain.
Pacing Clin Electrophysiol. 2013 May;36(5):641-61. doi: 10.1111/pace.12075. Epub 2013 Jan 18.
This paper is the second part of a review of the phenomena of resetting and entrainment of reentrant arrhythmias. It describes the practical and clinical uses of resetting and entrainment, including the results of a variety of studies for these purposes. Given the amount of information generated, it is out of the scope of this review to comment in detail about each of the published studies. We rather present the basis for each described clinical use and for each type of arrhythmia in which these phenomena have been used with illustrative examples. The review covers: resetting response patterns; resetting/entrainment and termination; resetting/entrainment, fusion, and reentry; analysis of the postpacing interval; concealed entrainment; resetting/entrainment as an aid in the differential diagnosis among different arrhythmic mechanisms; usefulness of these phenomena in arrhythmic mechanisms other than macrorreentry. Finally, we make some comments about the recent use of these phenomena and propose two new criteria for entrainment recognition.
本文是关于折返性心律失常的重置与拖带现象综述的第二部分。它描述了重置与拖带在实践和临床中的应用，包括为此目的进行的各种研究结果。鉴于所产生的信息量，详细评论每一项已发表的研究超出了本综述的范围。我们而是介绍每种所描述的临床应用以及使用这些现象的每种心律失常类型的依据，并辅以示例说明。综述内容包括：重置反应模式；重置/拖带与终止；重置/拖带、融合与折返；起搏后间期分析；隐匿性拖带；重置/拖带在不同心律失常机制鉴别诊断中的辅助作用；这些现象在除大折返以外的心律失常机制中的应用。最后，我们对这些现象的近期应用发表一些评论，并提出两项新的拖带识别标准。
