Slavov S
Vutr Boles. 1981;20(3):30-6.
On the base of 25-year follow up on 88 subjects with Wolf-Parkinson-White syndrome the results obtained from the studies are reported -- a syndrome being found from the clinically and electrocardiologically examined patients: males 67.2 per cent and 31.8 per cent -- females. Clinically healthy were 32 (36.35%) and the following diseases of the cardiovascular system were detected with the dynamic follow up of the rest 56 subjects: 27.25 per cent rheumocarditis or rheumatic valvular disease, tonsillo-cardiac syndrome in 11.4 per cent, chronic ischemic heart disease in 12.5 per cent, heart infarction, acute stage -- in 3, hypertonic states -- in 6 and with congenital tricuspidal malformation of Ebstein and with thyreoto ic heart. The electrocardiographic characteristic showed type A in 37.5 per cent type B in 54.7 per cent and syndrome of Lown-Ganumg-Levin in 7.8 per cent. A transitory form of the syndrome was found in 11.4 per cent and in 6.8 per cent -- intermittent form. Paroxysmal tachycarida was found in 49 cases (55.8%), supraventricular form being the case in 39 of them, ventricular in 5 and on another 5 -- paroxysmal fibrillation -- tachycardia form. The concept is advanced that the presence of paranodal ectopic excitation centers with enhanced activity and functional lability of A-V node are of pathogenetic importance in the acquired forms of WPW syndrome.
在对88例预激综合征患者进行25年随访的基础上，报告了研究结果。从临床和心电图检查的患者中发现了该综合征：男性占67.2%，女性占31.8%。32例（36.35%）临床健康，其余56例患者在动态随访中检测到以下心血管系统疾病：风湿性心肌炎或风湿性瓣膜病占27.25%，扁桃体-心脏综合征占11.4%，慢性缺血性心脏病占12.5%，急性心肌梗死3例，高血压状态6例，先天性Ebstein三尖瓣畸形合并甲状腺性心脏病。心电图特征显示，A型占37.5%，B型占54.7%，Lown-Ganumg-Levin综合征占7.8%。11.4%发现该综合征的短暂形式，6.8%为间歇性形式。49例（55.8%）发现阵发性心动过速，其中39例为室上性，5例为室性，另外5例为阵发性房颤-心动过速形式。提出的概念是，旁结异位兴奋中心的存在以及房室结活动增强和功能不稳定在获得性预激综合征形式中具有发病机制重要性。
