Sokolov S F, Golitsyn S P, Petrovskiĭ P F, Miasnikov O A
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1982;5(2):7-17.
A total of 16 patients with normal atrioventricular conduction were studied by the method of intracardiac electrophysiologic study. Time intervals of the conduction through the atria and the His-Purkinje system did not change during frequent atrial stimulation. The conduction time through the atrioventricular node increased, the periodical block with a location in the very node developing at a stimulation frequency of 181+/-18 beats/min. The duration of functional and effective refractory periods of the atria and the atrioventricular node depended upon heart rate. A complete block of retrograde conduction through the node was revealed in 5 of 13 patients by stimulating their ventricles. A frequency dependence of the conduction through the atrioventricular node and periodic block in relatively low stimulation frequency were observed in the others. The findings determine normal values of the indices studied and make a basis for the identification of anomalous pathways of atrioventricular conduction.
采用心内电生理研究方法对16例房室传导正常的患者进行了研究。在频繁心房刺激期间,心房和希氏 - 浦肯野系统的传导时间间隔未发生变化。通过房室结的传导时间增加,在刺激频率为181±18次/分钟时,在房室结内出现了周期性阻滞。心房和房室结的功能不应期和有效不应期的持续时间取决于心率。通过刺激心室,在13例患者中有5例出现了通过房室结的完全逆行传导阻滞。在其他患者中观察到房室结传导的频率依赖性以及相对低刺激频率下的周期性阻滞。这些发现确定了所研究指标的正常值,并为识别房室传导异常途径奠定了基础。