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[心内膜标测在室上性心律失常鉴别诊断中的应用]

[Endocardial mapping in the differential diagnosis of supraventricular arrhythmias].

作者信息

Assmann I, Dittrich P, Oltmanns G, Rübersamen M

出版信息

Z Gesamte Inn Med. 1981 Feb 15;36(4):241-4.

PMID:7222860
Abstract

The surface ECG only in a restricted number allows evidence on the course off conduction in the atria. By introduction of the intracardial electrography into the clinic as well as various stimulation techniques has become possible better to analyse the formation of stimuli and the conduction system in man. The diagnosis of supraventricular arrhythmias renders particular difficulties. By recording of the intracardial potentials in as many as possible and defined points of the atria in relation to the fixed point possibly near to the sinus node (endocardial mapping) a better analysis of the excitation and conduction is possible. Only own examinations on 9 patients with sinus rhythm and supraventricular dysrhythmias by means of atrial mapping showed that origin and course of the conduction of cardial arrhythmias may be clarified better. The method mentioned according to our experiences hitherto made and reports in literature despite several lacks and difficulties in an enrichment of the diagnostic possibilities in supraventricular dysrhythmias.

摘要

仅少数体表心电图能显示心房传导过程的证据。通过将心内电图引入临床以及采用各种刺激技术,得以更好地分析人体刺激的形成和传导系统。室上性心律失常的诊断存在特殊困难。通过在尽可能多且与可能靠近窦房结的固定点相关的心房特定点记录心内电位(心内膜标测),可以更好地分析激动和传导情况。仅通过对9例窦性心律和室上性心律失常患者进行心房标测的自身检查表明,心脏心律失常的起源和传导过程可能得到更好的阐明。根据我们目前的经验以及文献报道,尽管存在一些不足和困难,但上述方法仍丰富了室上性心律失常的诊断可能性。

相似文献

1
[Endocardial mapping in the differential diagnosis of supraventricular arrhythmias].[心内膜标测在室上性心律失常鉴别诊断中的应用]
Z Gesamte Inn Med. 1981 Feb 15;36(4):241-4.
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[What diagnosis would you make?].[你会做出什么诊断?]
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