Pistolese M, Ambrosini M, Cassingena M L
G Ital Cardiol. 1979;9(12):1040-7.
The Authors report on two cases of hypokinetic arrhythmia with good ventricular rate during the day. In these cases the Holter monitoring showed, during the night, a marked slow down of the cardiac rhythm with short period of cardiac arrest up to 4280 ms. The Authors would like to underline the prognostic and therapeutic importance of the above said remarks, also mentioned by others in the most recent literature, and the necessity to go deeply in to the meaning of these events specially about possibility of sudden death and cerebral hypossia, during the slow down of cardiac rhythm. In both cases a good therapeutic effect, consisting in a complete normalization of the cardiac rate, has been optained with sustained preparation of sympaticomimetic and vagolitic drugs. On the basis of their experience, the Authors think that, in these cases, the pharmacologic therapy, neglected during the last years, could give a good therapeutical result.
作者报告了两例白天心室率正常的心动过缓性心律失常病例。在这些病例中，动态心电图监测显示，夜间心律明显减慢，伴有长达4280毫秒的短暂心脏停搏。作者想强调上述观点的预后和治疗重要性，最近的文献中也有其他人提及，以及深入探究这些事件意义的必要性，特别是关于心律减慢期间猝死和脑缺氧的可能性。在这两例病例中，通过持续使用拟交感神经药和抗迷走神经药，取得了良好的治疗效果，心率完全恢复正常。基于他们的经验，作者认为，在这些病例中，过去几年被忽视的药物治疗可能会产生良好的治疗效果。
