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正常房室交界处组织具有前向和逆向传导功能。完全性房室传导阻滞时,很少见到逆行心房激动。最近我们遇到的1例同时伴有间歇性完全性房间传导阻滞,现报道如下: 患者女性,58岁,半年来因冠心病、阿-斯综合征发作两次住院。24小时连续心电图监护示Ⅲ°房室传导阻滞、多源性室早和尖端扭转型室速发作。经住院治疗,室早和室速消失,但Ⅲ°房室传导阻滞持续存在,心室率50—58次/分。出院后继续服用慢心律、舒喘灵和心痛定等药物,近3月来无晕厥发作。1986年4月14日门诊随访:BP170/
Normal atrioventricular junction tissue with forward and reverse conduction. In complete atrioventricular block, retrograde atrial activation is seldom seen. Recently, we encountered a case accompanied by intermittent complete block of the room, are reported as follows: Female patients, 58 years old, six months due to coronary heart disease, Adams syndrome two hospitalizations. 24-hour continuous ECG monitoring showed a third-degree atrioventricular block, multi-ventricular premature and torsades de pointes ventricular tachycardia. After hospitalization, ventricular tachycardia and ventricular tachycardia disappeared, but Ⅲ ° atrioventricular block continued to exist, ventricular rate 50-58 beats / min. After discharge from the hospital to continue taking slow rhythm, schuangling and heartache and other drugs, no syncope in the past 3 months. Outpatient visits on April 14, 1986: BP170 /