Perry J C, Garson A
Division of Pediatric Cardiology, Texas Children's Hospital, Houston.
J Cardiovasc Electrophysiol. 1993 Apr;4(2):224-38. doi: 10.1111/j.1540-8167.1993.tb01226.x.
The atrioventricular junction is a compact area in which most of the known electrophysiologic substrates and mechanisms play a role in the genesis and maintenance of tachyarrhythmias. The purpose of this review is to summarize the data on normal atrioventricular junction anatomy and electrophysiologic function and correlate that information with surface electrocardiographic recordings, intracardiac electrophysiologic data, and interventional data from surgical and catheter techniques. Models of tachycardia mechanisms are proposed for typical and atypical atrioventricular nodal reentrant tachycardia, permanent junctional reciprocating tachycardia, and orthodromic supraventricular tachycardias utilizing "intermediate septal" accessory connections.
房室交界区是一个紧密的区域，在已知的大多数电生理基质和机制中，其在室上性快速性心律失常的发生和维持中发挥作用。本综述的目的是总结关于正常房室交界区解剖结构和电生理功能的数据，并将这些信息与体表心电图记录、心内电生理数据以及来自外科手术和导管技术的介入数据相关联。针对典型和非典型房室结折返性心动过速、永久性交界性反复性心动过速以及利用“中间间隔”旁路连接的顺向性室上性心动过速，提出了心动过速机制模型。
