Bisteni A
Arch Inst Cardiol Mex. 1977 May-Jun;47(3):265-76.
The sequence of ventricular repolarization process is studied in 25 dogs, using unipolar epicardial leads and some distant bipolar leads. It is concluded: 1. The sequence of ventricular repolarization process is from the base to the apex of the heart. 2. Its sense is independent from the activation process. 3. It is demonstrated the nature of the intrinsec deflection of the repolarization process. 4. The duration of the electrical systole is greater in the myocardial fibers of the right ventricle than in the fibers of the left ventricle. 5. The duration of the electrical systole is constant in the myocardial fibers of a blocked ventricle, but is delayed in the same proportion of the activation process. 6. The significance of the biphasic T wave is discussed, in the presence of bundle branch block. 7. Some bases are withdrown for the deductive interpretation of the T wave based upon the ventricular repolarization process.
利用单极心外膜导联和一些远距离双极导联,对25只犬的心室复极过程顺序进行了研究。得出以下结论:1. 心室复极过程的顺序是从心底向心尖。2. 其方向与激动过程无关。3. 证实了复极过程中固有偏转的性质。4. 右心室心肌纤维的电收缩期持续时间比左心室纤维长。5. 受阻心室心肌纤维的电收缩期持续时间恒定,但在激动过程中以相同比例延迟。6. 讨论了束支传导阻滞时双相T波的意义。7. 为基于心室复极过程对T波进行演绎解释提供了一些依据。