Zipes D P, Heger J J, Prystowsky E N
Am Heart J. 1983 Oct;106(4 Pt 2):812-28. doi: 10.1016/0002-8703(83)90004-2.
We have endeavored to relate known electrophysiologic mechanisms of arrhythmia development to clinically occurring arrhythmias, realizing that definitive conclusions can only be surmised at present. Arrhythmias that may be due to disorders of impulse formation include slow atrial, junctional, and ventricular escape rhythms, certain types of atrial tachycardias (such as those produced by digitalis), accelerated junctional (nonparoxysmal junctional tachycardia) and idioventricular rhythms, and parasystole. Arrhythmias that may be due to disorders of impulse conduction include flutter and fibrillation, atrioventricular nodal reentrant tachycardia, reciprocating tachycardias associated with an accessory pathway, sinus nodal reentry, some atrial tachycardias, and many ventricular tachycardias. Understanding the mechanism of the tachycardia, in some instances, helps direct rational therapeutic approaches.
我们一直致力于将已知的心律失常发生的电生理机制与临床出现的心律失常联系起来，同时意识到目前只能进行推测性的明确结论。可能由冲动形成障碍引起的心律失常包括缓慢的心房、交界区和心室逸搏心律、某些类型的房性心动过速（如洋地黄引起的）、加速性交界区（非阵发性交界区心动过速）和心室自身心律以及并行心律。可能由冲动传导障碍引起的心律失常包括扑动和颤动、房室结折返性心动过速、与旁路相关的折返性心动过速、窦房结折返、一些房性心动过速以及许多室性心动过速。在某些情况下，了解心动过速的机制有助于指导合理的治疗方法。
