title: [The use of transvenous destruction of the atrioventricular junction for correcting hemodynamic disorders caused by ventricular-atrial conduction].
abstract: The authors studied disorders of central and intracardiac hemodynamics occurring in electrostimulation of the ventricles attended by retrograde stimulation of the cardia. The experiments were conducted on 8 anesthetized dogs in whom, after disclosure of intact ventriculoatrial conduction, transvenous destruction of the atrioventricular junction was performed. Clinical study was carried out in 12 patients with continuous electrostimulation of the ventricles which caused retrograde stimulation of the atria, and in 19 patients with supraventricular tachyarrhythmia who were subjected to transvenous endocardial destruction of the atrioventricular junction. Due to the development of severe hemodynamic disorders in electrostimulation of the ventricles attended by retrograde stimulation of the atria the last named condition should be changed to ventriculoatrial dissociation which promotes growth of contractile activity and stroke volume of the left ventricle. Transvenous destruction of the atrioventricular junction is a reliable method for blocking retrograde conduction.
authors.forename: V I
authors.initials: VI
authors.lastname: Pipiia
authors.forename: E D
authors.initials: ED
authors.lastname: Rimsha
authors.forename: A A
authors.initials: AA
authors.lastname: Gamarian
authors.forename: A A
authors.initials: AA
authors.lastname: Tedeev
authors.forename: V R
authors.initials: VR
authors.lastname: Shileĭkis
mesh_terms: D000818:Animals; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001283:Atrioventricular Node / Q000503:physiopathology / Q000601:surgery* / Q000648:ultrastructure; D006328:Cardiac Catheterization; D004285:Dogs; D006329:Heart Conduction System / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008854:Microscopy, Electron; D009200:Myocardial Contraction / Q000502:physiology; D010138:Pacemaker, Artificial / Q000009:adverse effects; D013617:Tachycardia, Supraventricular / Q000150:complications / Q000503:physiopathology / Q000601:surgery
vernacular_title: Primenenie transvenoznoĭ destruktsii atrioventrikuliarnogo soedineniia dlia korrektsii narusheniĭ gemodinamiki, vyzvannykh zheludochno-predserdnoĭ provodimost'iu.