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心脏传导的变异性裂隙现象

Variant gap phenomenon in A-V conduction

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【作者】 郭继鸿王静毅除成斌许原

【Author】 Guo Jihong; Wang Jingyi;Xu Chengbin; et al.( People’s hos-pital, Beijing Medical University, Beijing 100034)

【机构】 北京医科大学人民医院

【摘要】 在连续361例患者心内电生理检查中,发现4例有心脏传导的裂隙现象。其特点表现为激动传导方向上远端平面相对不应期(RRP)长,程序刺激中先出现传导延缓,随后近端平面也进入RRP使传导变为延缓,激动经过近端平面延缓传导后,到达远端平面时其已脱离了RRP,使已经在远端传导延缓的情况变为传导正常,与经典的裂隙现象相比,这种裂隙现象的发生机制,与心内电图的表现均有不同,暂定名为变异性裂隙现象。

【Abstract】 n 361 consecutive patients 4 with variant gapphenomenon (VGP) underwent intracardiac electrophysiological studies. The premature atrial responseinitially delayed in Hispurkinje system (HPS) whichhad a long relative refractory period (RRP) , and H-Vinterval was prolonged. However, as atrial responseswere more premature, the atrioventricular node(AVN) showed RRP and slowed down the conduc-tion, that made HPS get rid of RRP before the re-sponse arriving. Thus the conduction resumed, and H-V interval became normal. It was different from theclassic gap phenomenon. We call it variant gap phe-nomenon.

  • 【文献出处】 中华医学杂志 ,NATIONAL MEDICAL JOURNAL OF CHINA , 编辑部邮箱 ,1995年08期
  • 【分类号】R541.76
  • 【被引频次】1
  • 【下载频次】77
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