Balestra G, Aquilina M, Rusticali F, Morgagni W
G Ital Cardiol. 1976;6(8):1445-7.
On the basis of the personal experience of 36 patients with sick sinus syndrome, the role of length, seat, frequency of atrial stimulation (AS) on the duration of correct sinus node recovery time (CSNRT) were examined. The length of AS has little importance for values over 2 minutes. In 2 cases the CSNRT were pathological only if the position had been changed from the lateral wall of the right atrium to the middle right atrium. The frequency of AS is very important for the duration of pathological and maximal CSNRT. Therefore it is better to give every patient the major range of frequencies of AS as for a correct quantitative determination of sinus dysfunction so as not to lose some falsely negative results.
基于36例病态窦房结综合征患者的个人经验,研究了心房刺激(AS)的长度、部位、频率对窦房结恢复时间(CSNRT)的影响。当AS时长超过2分钟时,其长度对结果影响不大。有2例患者,仅当刺激部位从右心房外侧壁移至右心房中部时,CSNRT才呈病理性。AS频率对病理性CSNRT和最大CSNRT的时长非常重要。因此,为准确量化测定窦房结功能障碍,最好对每位患者采用较大范围的AS频率,以免遗漏假阴性结果。