Doshchitsin V L
Kardiologiia. 1978 Oct;18(10):38-43.
Allorhythmia in the broad sense is defined as a regular sequence of similar groups of ECG-complexes associated with various disorders of cardiac rhythm and conduction. The following classification of allorhythmias is suggested. A. True allorhythmias. I. Due to extrasystoles: 1) noncomplicated; 2) complicated by disorders of conduction. II. Allorrhythmias due to ectopic rhythms with capture beats: 1) paroxysmal or nonparoxysmal ectopic tachycardia; 2) escaping rhythms. III. Allorrhythmias due to impulse conduction block: 1) II degree S--A block; 2) II degree A--V-block; 2, atrial flutter and atrial tachycardia with A--V-block 3 : 2, 4 : 2, etc. B. Pseudoallorrhythmias due to regular alterations in the shape of the QRS complex: 1) transient bundle-branch block; 2) transient WPW syndrome; 3) bidirectional tachycardia. Differential diagnosis of various types of allorrhythmia is of great importance in choosing the measures and methods for antiarrhythmic therapy.
广义的心律失常被定义为与各种心律失常和传导障碍相关的相似心电图复合波群的规则序列。建议对心律失常进行以下分类。A. 真性心律失常。I. 由于期前收缩:1) 无并发症的;2) 并发传导障碍的。II. 伴有夺获心搏的异位心律引起的心律失常:1) 阵发性或非阵发性异位性心动过速;2) 逸搏心律。III. 由于冲动传导阻滞引起的心律失常:1) 二度窦房阻滞;2) 二度房室阻滞;2) 伴有2:1、3:2、4:2等房室阻滞的心房扑动和心房性心动过速。B. 由于QRS复合波形态的规则改变引起的假性心律失常:1) 暂时性束支阻滞;2) 暂时性预激综合征;3) 双向性心动过速。各种类型心律失常的鉴别诊断在选择抗心律失常治疗的措施和方法方面非常重要。