Brechenmacher C, Coumel P, Slama R
Arch Mal Coeur Vaiss. 1975 Jun;68(6):575-80.
Correlation between the endocardial electrocardiographic recording and the histological findings of the conduction pathways in one case of apparent atrial standstill makes it possible to state the following facts: 1. The presence of a supranodal block through an intraatrial conduction disturbance. 2. The presence of James' fibres by-passing the upper part of Tawara node. 3. The functional character of these James' fivres which constitute, in view of the presence of lesions of the upper part of the Tawara node, the only possible pathway from the atria to the ventricles in this case. 4. The possibility to record the action potentials of James' fibres in that exceptional case. The histological examination made it possible also to recognize the anatomical lesions responsible for the idiopathic dilatation of the right atrium and of the apparent atrial standstill which represented the end-stage of an atrial rhythm disease.
1例明显心房静止患者的心内膜心电图记录与传导通路组织学检查结果之间的相关性，使以下事实得以明确：1. 存在通过心房内传导障碍的结上阻滞。2. 存在绕过房室结上部的James纤维。3. 鉴于房室结上部存在病变，这些James纤维在该病例中构成了心房与心室之间唯一可能的传导通路，具有功能性。4. 在该特殊病例中能够记录到James纤维的动作电位。组织学检查还使得识别导致右心房特发性扩张及明显心房静止（这代表心房节律疾病的终末期）的解剖学病变成为可能。
