Robinson K, Krikler D
Division of Cardiovascular Disease, Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom.
Annu Rev Med. 1988;39:381-94. doi: 10.1146/annurev.me.39.020188.002121.
Most supraventricular tachycardias can be diagnosed confidently using the standard 12-lead electrocardiogram, the more so if such a tracing in sinus rhythm is also available. The underlying mechanisms may often be determined and these may have important therapeutic consequences. This chapter reviews the electrocardiographic appearances of the supraventricular arrhythmias. Extrasystoles are common but rarely require specific treatment. Automatic atrial tachycardias are common and usually amenable to simple management. Reentrant circuits related to atrial and atrioventricular tachycardias are also described, and where possible, treatment is related to underlying mechanisms.
大多数室上性心动过速可通过标准12导联心电图做出可靠诊断，若能获得窦性心律时的心电图记录则更有助于诊断。其潜在机制往往能够明确，这可能具有重要的治疗意义。本章回顾了室上性心律失常的心电图表现。早搏很常见，但很少需要特殊治疗。自律性房性心动过速很常见，通常易于简单处理。文中还描述了与房性和房室性心动过速相关的折返环路，并且在可能的情况下，治疗方法与潜在机制相关。
