Grigorov S S, Votchal F V, Tafipol'skiĭ V A, Sulimov V A, Frolov V M
Kardiologiia. 1978 Apr;18(4):146-50.
The authors analyse the indications for electric stimulation of the heart in disorders of atrioventricular conduction on the basis of personal experience (1000 odd electric stimulations). Two main factors, the frequency and severity of Morgangni-Adams-Stokes attacks and the state of hemodynamics, should be taken into account when the indications for electric cardiac stimulation are considered. In choosing the therapeutical measures and methods, due consideration should also be given to the etiology of the block. Morgagni-Adams-Stokes attacks are an absolute indication for permanent electric stimulation. The authors believe that as a method for the management of atrioventricular block electric stimulation of the heart has no absolute contraindications.
作者根据个人经验(1000余次心脏电刺激)分析了在房室传导障碍中进行心脏电刺激的适应证。在考虑心脏电刺激的适应证时,应考虑两个主要因素,即莫根尼 - 亚当斯 - 斯托克斯发作的频率和严重程度以及血流动力学状态。在选择治疗措施和方法时,还应充分考虑传导阻滞的病因。莫根尼 - 亚当斯 - 斯托克斯发作是永久性电刺激的绝对适应证。作者认为,作为治疗房室传导阻滞的一种方法,心脏电刺激没有绝对禁忌证。