Solti F, Szabó Z, Bodor E, Rényi-Vámos F
Cor Vasa. 1979;21(4):242-8.
The alterations in the clinical symptoms and the pacemaker function of the sinus node following open heart operation were studied in 26 patients suffering from atrial septal defect. The most characteristic electrophysiological change was the prolongation of the sinus node recovery time as consequence of surgical repair of the atrial septal defect. The clinical symptoms of the sick sinus syndrome could be detected in all 26 cases after the open heart surgery. In 16 patients the symptoms of iatrogenic sick sinus syndrome (SSS) were only transitory, while in 10 patients a stable iatrogenic SSS developed after the operation. In the basis of these data the pathological mechanism of the iatrogenic SSS is discussed.
对26例房间隔缺损患者在心脏直视手术后的临床症状及窦房结起搏器功能改变进行了研究。最具特征性的电生理变化是房间隔缺损手术修复后窦房结恢复时间延长。在心脏直视手术后,所有26例患者均能检测到病窦综合征的临床症状。16例患者医源性病态窦房结综合征(SSS)症状仅为一过性,而10例患者术后出现了稳定的医源性SSS。基于这些数据,对医源性SSS的病理机制进行了讨论。