Makolkin V I, Romanov M M, Vakhliaev V D, Fenin V N, Sulimov V A
Kardiologiia. 1977 Sep;17(9):20-6.
The article discusses the possibilities of differential diagnosis of supraventricular arrhythmians by means of carotid zone stimulation, atrial VCG and ECG recorded from right-bronchial leads. Atrial VCG can reveal the character of the ectopic P-wave and thus helps in the diagnosis of arrhythmias with conspicuous atrial activity. ECG recorded from bronchial leade makes it possible to obtain a large atrial wave and determine elements of decisive importances in the diagnosis of many rhythm disorders: junctional and combined contractions, various types of ectopic P-waves, the character of antero- and retrograde conduction. The tactics of treatment with cardiac glycosides is determined by precise diagnosis of the arrhythmia and its connection with digitalis toxicosis.
本文讨论了通过颈动脉窦区刺激、心房向量心电图以及右支气管导联记录的心电图来鉴别诊断室上性心律失常的可能性。心房向量心电图能够揭示异位P波的特征，从而有助于诊断伴有明显心房活动的心律失常。支气管导联记录的心电图可以获取高大的心房波，并确定许多节律紊乱诊断中具有决定性意义的因素：交界性和复合性早搏、各种类型的异位P波、前向和逆向传导的特征。洋地黄类药物的治疗策略取决于心律失常的精确诊断及其与洋地黄中毒的关系。
