起搏适应证2008演示文稿.pptVIP

Student Notes学员注释 After the impulse passes through the bundle of His, it proceeds through the left and right bundle branches. 脉冲通过希氏束后，向左右束支分支传导 Instructor Notes教员注释 Student Notes学员注释 Next the impulse passes through the Purkinje fibers (interlacing fibers of modified cardiac muscle). 接下来脉冲通过浦金野纤维传导(心肌交叉相连的纤维） Instructor Notes教员注释 Student Notes学员注释 The impulse passes quickly through the bundle of His, the left and right bundle branches, and the Purkinje fibers, leading to depolarization and contraction of the ventricles. 脉冲迅速通过希氏束，左右束支和浦金野纤维，产生心室除极和收缩。 The QRS complex on the ECG represents the depolarization of the ventricular muscle mass. 心电图的QRS波代表了心室肌的除极。 Instructor Notes教员注释 Student Notes学员注释 Instructor Notes教员注释 Transition/Auto-animated slide 过渡性，自动演示幻灯 Student Notes学员注释 SA exit block occurs when the SA node fires, but the impulse does not conduct to the pathways that cause the atrium to contract. 窦房结发放脉冲，但冲动无法沿可引起心房收缩的途径传导时出现的窦房结传出阻滞 In SA exit block, there is a relationship between the pattern and the basic cycle length (because the sinus node continues to fire regularly), of approximately two, but less commonly three or four times the normal P-P interval. 窦房结传出阻滞时，在基本周长和模式间有相关性（因为窦房结持续规律发放脉冲），大约两倍正常P-P间期，3倍或4倍间期少见。 Instructor Notes教员注释 Student Notes学员注释 AV block can be described as a prolongation of the PR interval, the interval from the onset of the P-wave to the onset of the QRS complex. 房室阻滞被描述成PR间期延长，指P波开始到QRS波开始的间期 First-degree AV block is defined by a PR interval greater than 0.20 seconds (200 msec). First-degree AV block can be thought of as a delay in AV conduction, but each atrial signal is conducted to the ventricles (1:1 ratio). There are some who feel First-degree AV block is not an arrhythmia but a normal variant. In any case, it is not an indication for a pacemaker. I度房室阻滞定义是PR间期超过0.2秒（200毫秒）。I度房室阻滞被认为房室传导延迟，但每一个心房信号可以传导到心室（1：1比例）。有人认为I度房室传导阻滞不属于心律失常，而是正常变异。任何I度房室传导阻滞均不是起搏器的适应证。 Instructor Notes教员注释 Student Notes学员注释 Second-degree