Editorial: The Clinical Significance of the Repetitive Ventricular Response
Editorial: The Clinical Significance of the Repetitive Ventricular Response
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社论：重复性心室反应的临床意义
DOI：
10.1161/01.cir.63.4.773
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发表时间：
1981
期刊：
影响因子：
37.8
通讯作者：
M. Akhtar
中科院分区：
文献类型：
--
作者：
M. Akhtar
心室重复性反应（RVR）的临床意义已成为一个相当大的兴趣和争议的问题。尽管有几位研究者对此很感兴趣，也做了很多努力，但关于它的重要性还不可能得出明确的结论。事实上，RVR的临床和电生理方面一直是混淆的来源，特别是对于那些不太熟悉心脏电生理研究的人。最重要的是，还没有确定可重复使用率的统一定义。在本通信中，它是指在基本心房（窦性或心房起搏）或心室节律期间，起搏室性早搏（V2）后发生一次或多次（但少于五次）非刺激性心室搏动。在大多数已发表的临床研究中使用了类似的定义，尽管尚未阐明多个RVR与非持续性室性心动过速（VT）的分离。
THE CLINICAL SIGNIFICANCE of the repetitive ventricular response (RVR) has become an issue of considerable interest and controversy.'-6 Despite the interest and efforts of several investigators, definite conclusions about its significance are not possible. In fact, the clinical and electrophysiologic aspects of the RVR have been a source of confusion, particularly for those not well acquainted with cardiac electrophysiologic studies. Of primary importance is the fact that a uniform definition of RVR has not been established. In this communication, it refers to the occurrence of one or more (but less than five) nonstimulated ventricular beats after a paced ventricular premature beat (V2) either during basic atrial (sinus or atrial paced) or ventricular rhythms. A similar definition has been used in most of the published clinical studies, although the separation of multiple RVRs from nonsustained ventricular tachycardia (VT) has not been clarified.