[Differential diagnosis of supraventricular rhythm disorders and the tactics in the treatment with cardiac glycosides].

Abstract

The article discusses the possibilities of differential diagnosis of supraventricular arrhythmians by means of carotid zone stimulation, atrial VCG and ECG recorded from right-bronchial leads. Atrial VCG can reveal the character of the ectopic P-wave and thus helps in the diagnosis of arrhythmias with conspicuous atrial activity. ECG recorded from bronchial leade makes it possible to obtain a large atrial wave and determine elements of decisive importances in the diagnosis of many rhythm disorders: junctional and combined contractions, various types of ectopic P-waves, the character of antero- and retrograde conduction. The tactics of treatment with cardiac glycosides is determined by precise diagnosis of the arrhythmia and its connection with digitalis toxicosis.

• Authors: V I Makolkin, M M Romanov, V D Vakhliaev, V N Fenin, V A Sulimov
• Journal: Kardiologiia (Kardiologiia) Vol. 17 Issue 9 Pg. 20-6 (Sep 1977) ISSN: 0022-9040 [Print] Russia (Federation)
• Vernacular Title: Differentsial'naia diagnostika supraventrikuliarnykh narusheniĭ ritma i taktika lecheniia serdechnymi glikozidami.
• PMID: 926595 (Publication Type: English Abstract, Journal Article)

Chemical References

• Digitalis Glycosides

Topics

• Arrhythmias, Cardiac (diagnosis, drug therapy)
• Atrial Fibrillation (diagnosis)
• Atrial Flutter (diagnosis)
• Diagnosis, Differential
• Digitalis Glycosides (therapeutic use)
• Electrocardiography
• Humans
• Tachycardia, Paroxysmal (diagnosis)
• Vectorcardiography