[Method of fiber bronchoscopy under local anesthesia].
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Biomedical subjects
Publications and source records attributed to V N Fenin.
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Two cases of partial atrioventricular dissociation caused by paroxysmal nodal tachycardia with outlet track block are described. One of the episodes was discovered with the aid of ECG bronchial leads that permit distinct determination of atrial and ventricular "trapped" contractions, as well as combination complexes.
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.
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