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起源于异位起搏点的文氏型外出阻滞作为室性早搏配对间期不等的原因

Wenckebach-type exit block from an ectopic focus as a cause of variable coupling.

作者信息

Mirvis D M, Bandura J P, Brody D A

出版信息

J Electrocardiol. 1976;9(4):365-70. doi: 10.1016/s0022-0736(76)80030-1.

DOI:10.1016/s0022-0736(76)80030-1
PMID:62005
Abstract

Intermittent bigeminal and trigeminal ventricular premature beats were recorded in an otherwise healthy 14 year old male. Coupling intervals progressively lengthened until an ectopic beat was dropped. Odd numbers of sinus beats occurred between bigeminal runs. This rhythm is interpreted as being due to Wenckebach-type block in an exit pathway from the ectopic focus, resulting in concealment of the persistently active extrasystolic mechanism.

摘要

在一名14岁健康男性中记录到间歇性二联律和三联律室性早搏。联律间期逐渐延长,直至一个异位搏动脱落。二联律发作之间出现奇数个窦性搏动。这种节律被解释为由于异位起搏点传出途径的文氏型阻滞,导致持续活跃的早搏机制被隐匿。

相似文献

1
Wenckebach-type exit block from an ectopic focus as a cause of variable coupling.起源于异位起搏点的文氏型外出阻滞作为室性早搏配对间期不等的原因
J Electrocardiol. 1976;9(4):365-70. doi: 10.1016/s0022-0736(76)80030-1.
2
Concealed junctional bigeminy inducing pseudo 2:1 AV block.隐匿性交界性二联律诱发假性2:1房室传导阻滞。
J Electrocardiol. 1981;14(1):91-6. doi: 10.1016/s0022-0736(81)80035-0.
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Intermittent ventricular bigeminy as an expression of two-level Wenckebach periodicity in the reentrant pathway of extrasystoles.室性二联律作为室性早搏折返径路中二级文氏周期的一种表现形式。
Pacing Clin Electrophysiol. 1990 Jan;13(1):119-22. doi: 10.1111/j.1540-8159.1990.tb02010.x.
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Concealed (proximal) Wenckebach phenomenon with distal 2:1 exit block in the ectopic-ventricular junction.
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Parasystole simulating ventricular bigeminy with Wenckebach-type coupling prolongation.
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Concealed extrasystolic ventricular bigeminy with interpolation.隐匿性室性早搏二联律伴插入性早搏。
Chest. 1975 Mar;67(3):373-4. doi: 10.1378/chest.67.3.373.
7
Ventricular ectopic beats with exit block: a retrospective Holter monitor study.
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A subvariant of concealed bigeminy.隐匿性二联律的一个子变体。
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Modulated ventricular parasystole as a mechanism for concealed bigeminy.
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[Occult ventricular bigeminy. Description of a case with extrasystole variable coupling separated by sinus beats in even or odd numbers].
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引用本文的文献

1
Exit block.出口阻滞
J Natl Med Assoc. 1982 Oct;74(10):1026-8.
2
Recognition of the Wenckebach phenomenon.文氏现象的识别。
West J Med. 1978 Dec;129(6):521-6.