Onouchi Z, Haba S, Kiyosawa N, Shimazu S, Hamaoka K, Kusunoki T
Jpn Heart J. 1980 May;21(3):307-15. doi: 10.1536/ihj.21.307.
Six patients aged between 1 to 11 years (4 females and 2 males) developed Stokes-Adams attacks with complete heart block due to acute nonspecific myocarditis. Transvenous pacing was instituted in 2 patients, but in the other 4 patients the ECG returned to normal by isoproterenol. All ECGs in complete heart block showed QRS complexes of right bundle branch block with left posterior hemiblock pattern, except for 1 which showed QRS complexes of complete left bundle branch block pattern. The ECG improved sequentially in order and left anterior hemiblock pattern of QRS complexes remained to the last during the convalescent period. Normal atrioventricular conduction returned by 2 to 24 hours in all but 1 patient who was dead and 1 of the 2 patients with shock. In another patient bifascicular block has persisted.
6例年龄在1至11岁之间的患者（4例女性，2例男性）因急性非特异性心肌炎发生Stokes - Adams发作并伴有完全性心脏传导阻滞。2例患者接受了经静脉起搏治疗，但另外4例患者经异丙肾上腺素治疗后心电图恢复正常。所有完全性心脏传导阻滞的心电图均显示右束支传导阻滞合并左后分支阻滞图形的QRS波群，只有1例显示完全性左束支传导阻滞图形。在恢复期，心电图按顺序逐渐改善，QRS波群的左前分支阻滞图形持续到最后。除1例死亡患者和2例休克患者中的1例外，所有患者在2至24小时内恢复了正常房室传导。另1例患者双分支阻滞持续存在。
