Guarnieri T, German L D, Gallagher J J
Pacing Clin Electrophysiol. 1987 Jan;10(1 Pt 1):103-17. doi: 10.1111/j.1540-8159.1987.tb05930.x.
The family of tachycardias that are called long R-P' tachycardias represent a unique group of tachycardias which have been notably refractory to pharmacologic therapy in the past. On the surface electrocardiogram, the rhythms may be indistinguishable. It is only with careful electrophysiological evaluation in many cases that these rhythms can be sorted out. The differential diagnosis in these rhythms is important because with incessant tachycardia, ventricular dysfunction may be produced. In many of the instances of long R-P' tachycardias definitive and directed ablation of the tachycardia can be accomplished. New techniques involving catheter ablation and super-selective surgical dissection are now present which makes ablation of these tachycardias possible.
被称为长R-P’心动过速的这一类心动过速代表了一组独特的心动过速，过去它们对药物治疗一直具有显著的难治性。在体表心电图上，这些节律可能难以区分。在许多情况下，只有通过仔细的电生理评估才能区分这些节律。这些节律的鉴别诊断很重要，因为持续性心动过速可能会导致心室功能障碍。在许多长R-P’心动过速的病例中，可以对心动过速进行确定性和有针对性的消融。现在出现了涉及导管消融和超选择性手术解剖的新技术，这使得消融这些心动过速成为可能。
