隐藏着重新进入人心。

L Littmann, J Tenczer, T Fenyvesi, M Rohla, R H Svenson
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引用次数: 0

摘要

通过人心电图和心内记录研究隐蔽性再入的机制和电生理表现。先前描述的隐匿再入模式在49例患者中被记录下来。7例隐蔽性再入参与房室结的Wenckebach周期和交替性Wenckebach周期的发生,并在His-Purkinje系统中“逆转”Wenckebach周期。到目前为止还没有描述这些隐蔽重返大气层的表现。在五个案件中,重新入境显然是隐蔽的。通过心内记录和分析回声节拍对后续窦性搏动时间的影响,可以检测到这些患者室上脉冲的完整(但隐藏的)马戏运动。心脏脉冲隐藏式再入是一个有充分证据的电生理事件,它解释了人类心脏脉冲形成和传导的许多常见和特殊表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Concealed re-entry in the human heart.

The mechanism and electrophysiologic manifestations of concealed re-entry were studied in human electrocardiograms and intracardiac recordings. Previously described patterns of concealed re-entry were documented in 49 patients. In seven cases concealed re-entry was involved in the genesis of Wenckebach periodicity and alternating Wenckebach periodicity in the AV node, and "reversed" Wenckebach periods in the His-Purkinje system. These manifestations of concealed re-entry were not described so far. In five cases re-entry was apparently concealed. Complete (but hidden) circus movement of the supraventricular impulses in these patients were detected by intracardiac recordings and by analysing the effects of echo beats on timing of the subsequent sinus beats. Concealed re-entry of the cardiac impulse is a well-documented electrophysiologic event which explains many common and peculiar manifestations of impulse formation and impulse conduction in the human heart.

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