Willems J L, Robles de Medina E O, Bernard R, Coumel P, Fisch C, Krikler D, Mazur N A, Meijler F L, Mogensen L, Moret P
J Am Coll Cardiol. 1985 Jun;5(6):1261-75. doi: 10.1016/s0735-1097(85)80335-1.
In an effort to standardize terminology and criteria for clinical electrocardiography, and as a follow-up of its work on definitions of terms related to cardiac rhythm, an Ad Hoc Working Group established by the World Health Organization and the International Society and Federation of Cardiology reviewed criteria for the diagnosis of conduction disturbances and pre-excitation. Recommendations resulting from these discussions are summarized for the diagnosis of complete and incomplete right and left bundle branch block, left anterior and left posterior fascicular block, nonspecific intraventricular block, Wolff-Parkinson-White syndrome and related pre-excitation patterns. Criteria for intraatrial conduction disturbances are also briefly reviewed. The criteria are described in clinical terms. A concise description of the criteria using formal Boolean logic is given in the Appendix. For the incorporation into computer electrocardiographic analysis programs, the limits of some interval measurements may need to be adjusted.
为了使临床心电图术语和标准标准化,并作为其关于心律失常相关术语定义工作的后续行动,世界卫生组织及国际心脏病学会和联合会设立的一个特设工作组审查了传导障碍和预激的诊断标准。现将这些讨论得出的关于诊断完全性和不完全性右束支和左束支传导阻滞、左前分支和左后分支传导阻滞、非特异性室内传导阻滞、 Wolff-Parkinson-White综合征及相关预激模式的建议进行总结。还简要回顾了心房内传导障碍的标准。这些标准用临床术语进行描述。附录中给出了使用形式布尔逻辑对标准的简要描述。为纳入计算机心电图分析程序,可能需要调整一些间期测量的限值。