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[地高辛所致的窦房结起始阻滞——通过双重和多重刺激揭示]

[Sinostrial node initial block after digoxin--unmasking by double and multiple stimulation].

作者信息

Volkmann H, Paliege R

出版信息

Z Gesamte Inn Med. 1980 Jan 1;35(1):21-5.

PMID:7405294
Abstract

After intravenous application of 1 mg digoxin in a 28-year-old patient with condition after myocarditis by means of premature atrial individual stimulation a SA-block I. type II was observed. Also in extremely premature stimuli the post-extrasystolic pauses remained compensating. After atrial double and multiple stimulation--a new method for the calculation of the sinuatrial conduction time--totally irregular poststimulation pauses appeared, which were regarded as an expression of a sinoauricular node initial block. Other possibilities of explanation are discussed.

摘要

对一名28岁心肌炎后患者静脉注射1毫克地高辛,通过房性早搏单个刺激,观察到I型II度窦房阻滞。在极早的刺激时,代偿间歇仍为代偿性。在心房双重和多重刺激(一种计算窦房传导时间的新方法)后,出现完全不规则的刺激后间歇,这被认为是窦房结起始阻滞的一种表现。文中讨论了其他可能的解释。

相似文献

1
[Sinostrial node initial block after digoxin--unmasking by double and multiple stimulation].[地高辛所致的窦房结起始阻滞——通过双重和多重刺激揭示]
Z Gesamte Inn Med. 1980 Jan 1;35(1):21-5.
2
[Examination of sinoatrial conduction through premature atrial stimuli via the esophagus].经食管早搏刺激对窦房传导的检查
Z Kardiol. 1975 Oct;64(10):907-18.
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Electrophysiologic testing in patients with sinus pauses and/or sinoatrial exit block.窦性停搏和/或窦房传导阻滞患者的电生理检查
Eur J Cardiol. 1978 Aug;8(1):51-60.
4
[Sinus node function test--diagnostic value and methodologic limits].[窦房结功能测试——诊断价值与方法学局限]
Z Gesamte Inn Med. 1982 Jan 1;37(1):1-7.
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[Contribution and limits of the auricular extrasystole method for the study of sinoauricular conduction time].[心房期前收缩法在窦房传导时间研究中的贡献与局限性]
Arch Mal Coeur Vaiss. 1977 Jul;70(7):723-32.
6
[The sinus node electrogram in the evaluation of atrial pauses].[窦房结电图在评估心房停搏中的应用]
G Ital Cardiol. 1984 Jan;14(1):16-21.
7
[Double and multiple atrial stimulation--a new method for calculation of sinoatrial conduction time (author's transl)].
Z Kardiol. 1978 Nov;67(11):779-86.
8
[Diagnosis of sinoatrial node function by atrial stimulation. Principles and clinical results].[通过心房刺激诊断窦房结功能。原理与临床结果]
Fortschr Med. 1981 Apr 23;99(16):602.
9
Direct stimulation of the sinus node in man. A possible explanation for an unusual finding during premature atrial stimulation.人体窦房结的直接刺激。房性早搏刺激时一项异常发现的可能解释。
Eur J Cardiol. 1975 Dec;3(4):323-8.
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[Study of the mechanism of an atrial pause using endocavitary recording of the sinus node potential in man].[利用人体窦房结电位的心腔内记录对房性停搏机制的研究]
Arch Mal Coeur Vaiss. 1980 Jul;73(7):805-15.