窦房结电图的探讨

首都医科大学学报 ›› 1987, Vol. 8 ›› Issue (3): 209-212.

窦房结电图的探讨

朱玉仑, 李康, 汪家瑞, 洪方裕

首都医学院宣武医院内科心血管病研究室

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1987-07-15 发布日期:1987-07-15

The Investigation of Sinus Node Electrogram

Zhu Yulun

Cardiovascular Research Lab Xuanwu Hospital Capital Institute of Medicine

Received:1900-01-01 Revised:1900-01-01 Online:1987-07-15 Published:1987-07-15

摘要/Abstract

摘要： 采用Gomes氏法Ⅱ记录了48例窦房结电图,其中正常对照组25例,可疑病窦组7例,病窦组16例。记录成功者41例。窦房传导时间:对照组75.5±17.8ms,可疑病窦组88.0±3.5ms,病窦组171.7±39.4ms。经统计学比较,对照组可凝病窦组无明显差异,而对照组病窦组差异明显。本文还观察了不同下限截止频率对记录窦房结电图的影响;按压颈动脉窦、注射阿托品及心房刺激对窦房传导时间的影响。分析了Gomes氏法Ⅱ的优劣,直接测量窦房传导时间的优点及限度。

关键词: 窦房结电图, 窦房传导时间, 窦房结

Abstract: Sinus Node Electrograms(SNE)were recorded in 48 patients by Gomes's method Ⅱ.25 cases had normal function of sinus node,7 cases had Doubt Sick Sinus Syndrome(DSSS),16 cases had Sick Sinus Syndrome(SSS).Stable SNE could be recorded in 41 cases (85%).Directly measured Sino-Atrial Conduction Time(SACT_D)was 75.5±7.8ms in control group,DSSS group was 88.0±3.5ms,SSS group was 171.7±39.4ms.There were no different between control and DSSS.groups.There were the significant different between control group and SSSgroup. This work has studied the influence to SNE in different Low-Pass filters.By the SNE directly observed influence on SSACT_D during carotid sinus massage intervious atropine and atrial stimulation. The advancemant and Limitation of Gomes's method Ⅱ and SACT_D were analysed.

Key words: sinus node, sinus node electrograms, sino-atrial conduction time

朱玉仑;李康;汪家瑞;洪方裕. 窦房结电图的探讨[J]. 首都医科大学学报, 1987, 8(3): 209-212.

Zhu Yulun. The Investigation of Sinus Node Electrogram[J]. Journal of Capital Medical University, 1987, 8(3): 209-212.