Coltorti F, Ivey T D, Bardy G H, Greene H L
G Ital Cardiol. 1986 Jun;16(6):522-6.
Simultaneous accelerated "junctional" rhythm and atrial flutter were observed postoperatively in a patient who had undergone electrophysiologic surgery for recurrent ventricular fibrillation. Digitalis toxicity was excluded, based on the low serum level of the drug and on the recurrence of the tachycardia after withdrawal of digitalis. While atrial flutter probably represented a postoperative recurrence of a clinically occurring arrhythmia, the accelerated "junctional" rhythm at unusually fast rates most likely developed as a consequence of a cryolesion applied to the ventricular septum as part of the surgical treatment. Phenytoin proved effective in suppressing this "junctional" tachycardia.
一名因复发性室颤接受电生理手术的患者术后出现了同时性加速性“交界性”心律和心房扑动。基于低血清药物水平以及停用洋地黄后心动过速复发，排除了洋地黄中毒。虽然心房扑动可能代表临床出现的心律失常术后复发，但异常快速的加速性“交界性”心律很可能是作为手术治疗一部分对室间隔进行冷冻消融的结果。苯妥英被证明对抑制这种“交界性”心动过速有效。
