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Klinische Vektor-Elektrokardiographie pp 111–133Cite as

Das Vektorkardiogramm bei Störungen der Erregungsausbreitung

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Zusammenfassung

Eines der wesentlichen Merkmale des Rechtsschenkelblocks liegt in dem initial weitgehend normalen Verlauf der Vektorschlinge nach vorne links unten (Lenègre, 1952, 1957; Wenger, 1956; Baydar, 1965). Die Orientierung der initialen Schlinge entspricht zufolge Blockierung des rechten Schenkels und Verzögerung der Erregungsausbreitung nach rechts praktisch ausschließlich den linksventriculären Partien des Kammerseptums, wobei sich die Aktivationswelle wie bei der Norm vom mittleren linksventriculären Drittel gleichzeitig nach vorne gegen die Spitze und nach hinten oben basiswärts ausbreitet (Vektor 1, Abb. 66). Durch das Überwiegen der spitzennahen Potentiale wird der manifeste septale Vektor jedoch nach vorne links orientiert. Anschließend erfolgt die Erregung der gesamten Spitzenregion sowie der Vorder- und Lateralwand des linken Ventrikels, während gleichzeitig die Depolarisationswelle langsam in das Kammerseptum eindringt und nach rechts übergreift.

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Literatur

  • Angle, W. D.: Myocardial infarction in the Wolff- Parkinson-White syndrome. A method of vector analysis of ECG changes. Amer. Heart J. 56, 36 (1958).

    Article  PubMed  CAS  Google Scholar 

  • Anselmi, A., O. Montes, and M. Alvarez: Participation of the free ventricular walls in the mechanism of production of bundle branch block. The influence on the morphology of unipolar epicardial tracings. Amer. Heart J. 61, 387 (1961).

    Article  PubMed  CAS  Google Scholar 

  • Bär, C. G.: Die Maskierung elektrokardiographischer Infarktzeichen durch ein WPW-Syndrom. Z. Kreisl.-Forsch. 45, 301 (1956).

    Google Scholar 

  • Baragan, J., P. Maurice et J. Lenègre: Bloc com- plet de la brauche gauche et infarctus du myo- carde. Arch. Mai. Coeur 56, 445 (1963).

    CAS  Google Scholar 

  • Baydar, I. D., T. J. Walsh, and E. Massie: A vectorcardiographic study of right bundle branch block with the Frank lead system. Clinical correlation in ventricular hypertrophy and chronic pulmonic disease. Amer. J. Cardiol. 15, 185 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Becker, R. A., A. M. Scher, and R. V. Erickson: Ventricular excitation in experimental left bundle branch block. Amer. Heart J. 55, 547 (1958).

    Article  PubMed  CAS  Google Scholar 

  • Besoain-Santander, M., and G. Gomez-Ebenspergtjer: Electrocardiographic diagnosis of myocardial infarction in cases of complete left bundle branch block. Amer. Heart J. 60, 886 (1960).

    Article  Google Scholar 

  • Bilger, R., u. C. S. So: Über das Vektorkardiogramm und Elektrokardiogramm des Wolff-Parkinson- White-Syndromes. Cardiologia (Basel) 42, 189 (1963).

    CAS  Google Scholar 

  • Bilger, R., C. S. So, u. R. Reindell: Über das Elektrokardiogramm und Vektorkardiogramm des Wolff-Par- kinson-White-Syndromes. Arch. Kreisl.-Forsch. 37, III (1962).

    Article  Google Scholar 

  • Burch, G. E., and N. B. de Pasquale: Electrocardiographic and vectorcardiographic detection of heart disease in the presence of the preexcitation syndrome (WPW). Ann. intern. Med. 54, 387 (1961).

    PubMed  CAS  Google Scholar 

  • Cernokovsky, J.: A vector analysis of the WPW- syndrome. Cardiologia (Basel) 29, 278 (1956).

    Google Scholar 

  • Chapman, M. G., and M. L. Pearce: Electrocardiographic diagnosis of myocardial infarction in the presence of left bundle branch block. Circulation 16, 558 (1957).

    PubMed  CAS  Google Scholar 

  • Doucet, P., T. J. Walsh, and E. Massie: A vectorcardiographic study of right bundle branch block with the Frank lead system; clinical correlation in myocardial infarction. Amer. J. Cardiol. 16, 342 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Doucet, P., T. J. Walsh, and E. Massie: A vectorcardiographic and electrocardiographic study of left bundle branch block with myocardial infarction. Amer. J. Cardiol. 17, 171 (1966).

    Article  PubMed  CAS  Google Scholar 

  • Dressler, W., H. Roesler, and A. Schwager: The electrocardiographic signs of myocardial infarction in the presence of bundle branch block. I. Myocardial infarction with left bundle branch block. Amer. Heart J. 39, 217 (1950).

    Article  PubMed  CAS  Google Scholar 

  • Dressler, W., H. Roesler, and A. Schwager: The electrocardiographic signs of myocardial infarction in the presence of bundle branch block. II. Myocardial infarction with right bundle branch block. Amer. Heart J. 39, 544 (1950).

    Article  PubMed  CAS  Google Scholar 

  • Frimpter, G. W., L. Scherr, and D. Odgen: The spatial vectorcardiogram in complete left bundle branch block with special reference to its initial component. Amer. Heart J. 55, 220 (1958).

    Article  PubMed  CAS  Google Scholar 

  • Grant, R. P., F. B. Tomlinson, and J. K. van Buren: Ventricular activation with pre-excitation syndrome (WPW). Circulation 18, 355 (1958).

    PubMed  CAS  Google Scholar 

  • Guerin, F., P. Godeau et C. Macrez: Infarctus du myocarde et block de brauche gauche. Arch. Mai. Cceur 56, 186 (1963).

    CAS  Google Scholar 

  • Holzmann, M.: Das Syndrom von Wolff, Parkinson und White. Z. Kreisl.-Forsch. 51, 275 (1962).

    CAS  Google Scholar 

  • Holzmann, M., u. D. Schere: Über Elektrokardiogramme mit verkürzter Vorhof-Kammer-Distanz und positiven p-Zacken. Z. klin. Med. 121, 404 (1932).

    Google Scholar 

  • Homola, D., M. Nevital u. V. Sonova: Vektor- kardiographisches Bild des WPW. In: Neue Ergebnisse der Elektrokardiologie, S. 191. Jena: Gustav Fischer 1966.

    Google Scholar 

  • Kennamer, R., and M. Prinzmetal: Depolarization of the ventricle with bundle branch block. Studies on the mechanisms of ventricular activity. X. Amer. Heart J. 47, 769 (1954).

    Article  CAS  Google Scholar 

  • Kossmann, C. E., H. B. Btjrchell, R. D. Pruitt, and R. C. Scott: The electrocardiogram in ventricular hypertrophy and bundle branch block. Circulation 26, 1337 (1962).

    PubMed  CAS  Google Scholar 

  • Lenègre, J.: Confrontations des èlectrocardiogram- mes et des lèsions histologiques du système de Tawara-His. Cardiologia (Basel) 29, 436 (1952).

    Google Scholar 

  • Lenègre, J.: Contribution a I’ètude des blocs de brauche com- portant notamment les confrontations èlectriques et histologiques. Paris: J. B. Bailliere & Fils 1957.

    Google Scholar 

  • Levine, H. D., and J. C. Bürge: Septal infarction with complete heart block and intermittent anomalous atrioventricular excitation (WPW-syn- drome): Histological demonstration of a right lateral bundle. Amer. Heart J. 36, 431 (1948).

    Article  PubMed  CAS  Google Scholar 

  • Medrano, G. A., A. Bisteni, R. W. Brancato, F. Pileggi, and D. Sodi-Pallares: The activation of the interventricular septum in the dogs heart under normal conditions and in bundle branch block. Ann. N.Y. Acad. Sci. 65, 804 (1957).

    Article  PubMed  CAS  Google Scholar 

  • Milnor, W. R.: Electrocardiogram and vectorcardiogram in right ventricular hypertrophy and right bundle branch block. Circulation 16, 348 (1957).

    PubMed  CAS  Google Scholar 

  • Newman, J., J. Blackhalter, P. Szanto, J. R. Tobin, and R. M. Gunnar: Spatial vectorcardiography in LBB. Amer. J. Cardiol. 16, 352 (1965).

    Article  Google Scholar 

  • Oehnell, P. F.: Preexcitation, a cardiac abnormality. Pathophysiological, pathoanatomical and clinical studies of an excitatory spread phenomenon bearing upon the problem of the WPW electrocardiogram and paroxysmal tachycardia. Acta med. scand., Suppl. 152 (1944).

    Google Scholar 

  • Pasquale, N. de, and G. E. Bijrch: The spatial vectorcardiogram in left bundle branch block and myocardial infarction with autopsy studies. Amer. J. Med. 29, 633 (1960).

    Article  Google Scholar 

  • Rhoads, D. V., J. E. Edwards, and R. D. Pruitt: The electrocardiogram in the presence of myocardial infarction and intraventricular block of the left bundle branch block type. Amer. Heart J. 62, 735 (1961).

    Article  PubMed  CAS  Google Scholar 

  • Ribeiro, C.: Les blocs intraventriculaires gauches. Le role de la paroi libre du ventricule gauche dans la genese de leur morphologic èlectro- et vector- cardiographique. Arch. Mai. Coeur 59, 1665 (1966).

    Google Scholar 

  • Rosenbaum, F. F., H. H. Hecht, F. N. Wilson, and F.D. Johnston: The potential variation of the thorax and the esophagus in anomalous atrioventricular excitation (WPW-syndrome). Amer. Heart J. 29, 281 (1945).

    Article  Google Scholar 

  • Scherlis, L., and A. Grishman: Spatial vectorcardiography: Left bundle branch block and left ventricular hypertrophy. Amer. Heart J. 41, 494 (1951).

    Article  PubMed  CAS  Google Scholar 

  • Scott, R. C.: Current concepts of ventricular activation in the normal heart in LBB and in LBB with myocardial infarction. Amer. Heart J. 64, 696 (1962).

    Article  PubMed  CAS  Google Scholar 

  • Scott, R. C.: Left bundle branch block. A clinical assessment. Part I. Amer. Heart J. 70, 535 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Scott, R. C.: Left bundle branch block. A clinical assessment. Part II. Amer. Heart J. 70, 691 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Scott, R. C.: Left bundle branch block. A clinical assessment. Part III. Amer. Heart J. 70, 813 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Sodi-Pallares, D., A. Bisteni, M. Testelli, and G. A. Medrano: Ventricular activation and the vectorcardiogram in bundle branch block. Circu- lat. Res. 9, 1098 (1961).

    Google Scholar 

  • F. Cisneros, G. A. Medrano, A. Bisteni, M. R. Testelli, and A. de Micheli: Electrocardiographic diagnosis of myocardial infarction of bundle branch block (right and left), ventricular premature beats and Wolff-Parkinson-White syndrome. Progr. cardio vase. Dis. 6, 107 (1963).

    Article  Google Scholar 

  • Spritz, N., B. D. Cohen, G. W. Frimpter, and A. L. Rubin: Electrocardiographic interrelationship of the pre-excitation (WPW)-syndrome and myocardial infarction. Amer. Heart J. 56, 715 (1958).

    Article  PubMed  CAS  Google Scholar 

  • Venerose, R. S., M. Seidenstein, J. H. Stuckey, and B. F. Hoffman: Activation of the ventricular septum and muscle fibers of the left septal surface before and after left bundle branch block. Amer. Heart J. 63, 347 (1962).

    Article  Google Scholar 

  • Wallace, A. G., E. H. Estes, and B. W. McCall: The vectorcardiographic findings in left bundle branch block. A study using the Frank lead system. Amer. Heart J. 63, 508 (1962).

    Article  PubMed  CAS  Google Scholar 

  • Walsh, T. J.: The Frank vectorcardiogram in left bundle branch block with myocardial infarction. In: Vectorcardiography 1965, p. 233. Amsterdam: North-Holland Publ. Co. 1966.

    Google Scholar 

  • Wenger, R., u. K. Hupka: Vektorkardiographische Untersuchungen bei Patienten mit Schenkelblock und Herzmuskelinfarkt. Cardiologia (Basel) 29, 196 (1956).

    Google Scholar 

  • Wolff, L., J. Parkinson, and P. D. White: Bundle branch block with short P-R-interval in healthy young people prone to paroxysmal tachycardia. Amer. Heart J. 5, 685 (1930).

    Article  Google Scholar 

  • Wolff, L., and P. D. White: Syndrome of short P-R-interval with abnormal QRS complexes and paroxysmal tachycardia. Arch, intern. Med. 82, 446 (1948).

    Article  CAS  Google Scholar 

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  1. Medizinischen Universitätsklinik, 8006, Zürich, Schweiz

    Privatdozent Dr. Paul Lichtlen (Oberarzt)

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  1. Privatdozent Dr. Paul Lichtlen
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© 1969 Springer-Verlag Berlin · Heidelberg

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Lichtlen, P. (1969). Das Vektorkardiogramm bei Störungen der Erregungsausbreitung. In: Klinische Vektor-Elektrokardiographie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87200-6_7

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  • DOI: https://doi.org/10.1007/978-3-642-87200-6_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-87201-3

  • Online ISBN: 978-3-642-87200-6

  • eBook Packages: Springer Book Archive

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