Gasilin V S, Bykov I I, Nikiforova A N
Kardiologiia. 1977 Dec;17(12):39-43.
A total of 280 patients with postinfarction and atherosclerotic cardiosclerosis and the bundle of His block were examined. The examination included recording of the ECG in 12 leads, the vectorcardiogram in the orthogonal system and after Frank and by the cube method, the cinecardiogram, polycardiogram, and radiocardiogram. It was established that bifascicular blocks of the left branch of the bundle of His are most unfavourable as regards the prognosis. The other types of blocks have no such effect and may rather be diagnostic signs indicating the localization and the extent of development of the necrotic or sclerotic process.
对280例心肌梗死后并发动脉粥样硬化性心肌病且存在希氏束传导阻滞的患者进行了检查。检查项目包括12导联心电图记录、正交系统及Frank导联法和立方体表法向量心电图记录、心动电影图、多导心电图和放射心电图。结果表明,就预后而言,希氏束左分支双分支阻滞最为不利。其他类型的阻滞则无此影响,反而可能是提示坏死或硬化过程的定位及发展程度的诊断征象。