李金生
Li Jinsheng Department of Internal Medicine

• 1: 贵阳医学院附院心内科

摘要(Abstract)：

报道18例预激综合征的电生理检查的结果,其中旁道(AP)位置在左外侧8例,右外侧4例,左、右后膈旁各2例,右前膈旁1例,左外侧及右外侧1例。抗心律失常药物治疗显示主要是延长AP及室房(VA)传导的有效不应期(ERP),以阻断环行折返运动。房颤—室颤—心脏性猝死(SCD)为预激综合征的主要危险,房颤最短R-R间期(R-R TSI)≤250ms及AP逆向(retro)ERP≤240ms,可能预测SCD的发生。
EPS were performed in 18 patients with PS. Accessory pathways(APs) in the patients were located by endocardial mapping. The results showed left lateral pathway in eight patienrts, right lateral pathway in four, right anterior paraseptal pathway in on, eand left and right lateral pathway in one,left posterior paraseptal pathway in two and right posterior paraseptal pathway in two. Superventricular tachycardia(SVT) were producibly induced in 17 PS patients who included 4 PS patients with induced atrial fibrillation(Af) which degenerated to ventricular fibrillation(VF) in two subjects and 3 PS patients with proved dual AV nodal pathways. The results suggested that the shortest R-R interval of 250ms during Af and the effective refrectory period of 240ms in AP antegrade conduction were predictors for ensuring VF of 17 PS patients with SVT, 14 patients responsed to antiarrhyth(?)nia agents(procainamide in 4 patients; disopyramide in 4; flecainide in 3; antenol in 3) . Statistically, there were the extremely significant differences in effective refrectory periods of AP antegrade conduction, AP retrograde conduction and AV nodal retrograde conduction(VA conduction) between beforetreatment and after that.

关键词(KeyWords)： 预激综合征;心房纤颤;心室纤颤;突然死亡;心脏传导系统;抗心律失常药物;电生理学;旁道
preexcitation syndrome;atrial fibrillation;ventricular fib illaion;death;sudden;heart conduction system;anti-arrhythmia agents;electro physiology;accessory pathway

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李金生
Li Jinsheng Department of Internal Medicine

DOI: 10.19367/j.cnki.1000-2707.1992.04.008

参考文献(References)：

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• 2 Reddy GV,et al. The localization of bypass tracts in the Wolff Parkinson-White syndrome from the surface electrocardiogram. Am Heart J, 1987, 113 (4) : 984-93
• 3 Wellens HJJ, et al. The electrocardiogram in patients with multipal accessory atrioventricular pathways. JACC, 1990, 16 (3) : 745-51
• 4 Sharma AD, et al. Identifying risk for sudden death in Wolff-Parkinson-White syndrome. Arrhythmias and Conduction Disturbances, 1988, 5(7) : 79-88
• 5 Campell RW, et al.Atrial fibrillation in the preexcitation syndrome. Am J Cardiol, 1977, 40: 514

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