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希氏束电图的发展和半束支传导阻滞的概念已引致对房室传导阻滞治疗指征的传统意见作重新审查。治疗技术并非争论问题;心室起搏仍是唯一真正可靠的有效方法。本文所述问题乃新近的进展,以决定是否需要及何时放置起搏器。
The development of His bundle and the concept of hemibranchial block have led to a re-examination of the traditional opinion on the indications for treatment of AV block. Treatment is not a controversial issue; ventricular pacing is still the only truly reliable and effective method. The issues described in this article are recent developments to determine if and when to place pacemakers.