Luca C, Comsulea L, Streian C, Cristodorescu R
Cor Vasa. 1978;20(1):27-34.
The paper presents a report on the clinical and electrographic spectrum of nine patients with the sick sinus syndrome with severe symptoms of clinical disturbances and serious disorders of impulse formation and conduction. Seven patients had syncope associated with sinus bradycardia, sinoatrial block or atrial fibrillation with slow ventricular rate. Prolonged episodes of atrial and ventricular asystole occurred and were interrupted by junctional escape beats. Paroxysmal atrial fibrillation and flutter were foun in three patients and infrahisian block in four. Atropine induced a slight acceleration of the heart rate in all the patients studied while the post-suppression S-A node recovery time was prolonged in four.
本文报告了9例病态窦房结综合征患者的临床及心电图表现，这些患者有严重的临床紊乱症状以及冲动形成和传导的严重障碍。7例患者出现与窦性心动过缓、窦房阻滞或心室率缓慢的心房颤动相关的晕厥。发生了长时间的心房和心室停搏，并被交界性逸搏打断。3例患者出现阵发性心房颤动和心房扑动，4例出现希氏束下阻滞。阿托品使所有研究患者的心率稍有加快，而4例患者抑制后窦房结恢复时间延长。
