The anatomical substrates of wolff-parkinson-white syndrome. A clinicopathologic correlation in seven patients.

The anatomical substrates of wolff-parkinson-white syndrome. A clinicopathologic correlation in seven patients.
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沃尔夫-帕金森-怀特综合征的解剖学基础。

DOI:
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发表时间:
1978
期刊:
影响因子:
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通讯作者:
H. Wellens
H. Wellens
中科院分区:
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文献类型:
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作者:
A. Becker;Robert H. Anderson;D. Durrer;H. Wellens

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对7例心电图显示Wolff-Parkinson-白色综合征患者的心脏进行临床病理学相关性研究。在每种情况下,临床和病理学研究都是独立进行的,两组研究人员都不知道对方的结果。在所有7个心脏中,对整个房室交界处进行连续切片。在心电图检查后,所有7例患者均预测到了房室连接。在预测部位的四个心脏中,组织病理学确定了连接。在另一种情况下,确定了两个连接,其中一个被认为是负责预激励。在第6例病例中,预期右侧连接,但在组织病理学研究后仅识别出副结节-心室纤维。在最后一个病例中,预测了后间隔连接,但整个间隔在之前的手术后已经纤维化。这些发现……
Clinicopathological correlations were made on the hearts from seven patients known to have exhibited electrocardiographic evidence of the Wolff-Parkinson-White syndrome. In each case, clinical and pathological investigations were conducted independently, neither group of investigators having knowledge of the other's results. In all seven hearts, the entire atrioventricular junctions were serially sectioned. Accessory atrioventricular connections were predicted in all seven cases following electrocardiographic investigation. Connections were identified histopathologically in four hearts in the predicted site. In another case two connections were identified, one being considered responsible for the pre-excitation. In the sixth case a right lateral connection was anticipated, but only accessory nodo-ventricular fibers were identified following histopathologic studies. In the final case, a posterior septal connection was predicted but the entire septum had fibrosed following previous operation. These findings...