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心房颤动时心室率控制不佳。不同心房节律的一种表现。

Uncontrolled ventricular rate in atrial fibrillation. A manifestation of dissimilar atrial rhythms.

作者信息

Leier C V, Johnson T M, Lewis R P

出版信息

Br Heart J. 1979 Jul;42(1):106-9. doi: 10.1136/hrt.42.1.106.

DOI:10.1136/hrt.42.1.106
PMID:475927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482120/
Abstract

A patient with coarse atrial fibrillation and a rapid ventricular response developed periods of high grade atrioventricular block interpersed with periods of rapid ventricular conduction after the administration of digitalis and propranolol. Intracardiac atrial recordings showed similar atrial rhythms of high right atrial flutter and left atrial fibrillation. The low right atrial recordings showed flutter during the periods of fast ventricular rates and fibrillation during periods of slower ventricular rates.

摘要

一名患有粗大型心房颤动且心室率快速的患者,在使用洋地黄和普萘洛尔后,出现了高度房室传导阻滞期,其间穿插着快速心室传导期。心内心房记录显示右心房上部扑动和左心房颤动的心房节律相似。右心房下部记录显示,心室率快时为扑动,心室率慢时为颤动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f9/482120/dc808ff1296e/brheartj00209-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f9/482120/dc808ff1296e/brheartj00209-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9f9/482120/dc808ff1296e/brheartj00209-0115-a.jpg

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本文引用的文献

1
VENTRICULAR RESPONSE IN ATRIAL FIBRILLATION. ROLE OF CONCEALED CONDUCTION IN THE AV JUNCTION.心房颤动时的心室反应。房室交界区隐匿性传导的作用。
Circulation. 1965 Jul;32:69-75. doi: 10.1161/01.cir.32.1.69.
2
Filtered bipolar esophageal electrocardiography.
Am Heart J. 1972 Mar;83(3):431. doi: 10.1016/0002-8703(72)90447-4.
3
Dissimilar atrial rhythms in man and dog.
Am J Cardiol. 1973 Oct;32(5):618-28. doi: 10.1016/s0002-9149(73)80054-2.
4
Dissimilar atrial rhythms. A patient with interatrial block.
不同的心房节律。一名患有房间传导阻滞的患者。
Br Heart J. 1977 Jun;39(6):680-4. doi: 10.1136/hrt.39.6.680.