Runge M, Narula O S, Ehlers E, Luckmann E, Pantlen H
Klin Wochenschr. 1980 Jul 15;58(14):733-8. doi: 10.1007/BF01478461.
The functional dissociation (FD) of conduction within the AV-node is characterized by sudden prolongations and/or shortenings of the AH-time during stimulation. Examples for FD are presented during regular atrial stimulation and atrial extrastimulus technique. The appearance of FD is no proof for functional impairment of the AV-node. The blockade of the parasympathetic nervous system abolishes FD and leads to the well known continuous and regular adaptation of the AH-time with the various kinds of stimulation examined. It is recommended to replace the term "pathways" by the more comprehensive concept of functional dissociation with the AV-node.
房室结内传导的功能分离(FD)的特征是在刺激过程中AH间期突然延长和/或缩短。在常规心房刺激和心房期外刺激技术中展示了FD的实例。FD的出现并不能证明房室结存在功能损害。阻断副交感神经系统可消除FD,并导致AH间期随着所检查的各种刺激而出现众所周知的持续且规律的适应性变化。建议用与房室结功能分离这一更全面的概念来取代“径路”这一术语。