Rivisitazione elettrocardiologica dei disturbi della conduzione intraventricolare Article Swipe
Marcello Costantini
,
Luigi Sciarra
,
Lorenzo Costantini
,
Mario Previtali
,
Vincenzo Carbone
,
Domenico Catanzariti
,
Francesco Notaristefano
,
Giuseppe Bagliani
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.17473/1971-6818-2024-1-9
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.17473/1971-6818-2024-1-9
L’attivazione elettrica dei ventricoli si avvale di un sistema di conduzione specializzato comprendente la branca destra, la branca sinistra e i fascicoli divisionali di quest’ultima. Processi patologici o condizioni di diverso genere, a base genetica o del tutto acquisiti, possono compromettere la conduzione lungo uno o più di tali fascicoli, dando luogo a blocchi di branca ed emiblocchi. Un blocco di branca (o un emiblocco) può essere: a) stabile, quando si mantiene immodificato nel tempo; b) transitorio, quando è condizionato da eventi acuti (ischemia acuta, effetto di farmaci che peggiorano la conduzione, disturbi elettrolitici, ecc.), la cui regressione porta alla scomparsa del blocco; c) intermittente, quando compare e scompare in modo improvviso, da un battito all’altro, per lo più in seguito a variazioni del ciclo cardiaco. Un blocco di branca intermittente può comparire quando la frequenza cardiaca sale al di sopra di un valore critico (blocco di branca intermittente tachicardia-dipendente o in fase 3) o scende al di sotto di un valore critico (blocco di branca intermittente bradicardia-dipendente o in fase 4). Un blocco di branca (o un emiblocco) può essere completo o incompleto: in quest’ultimo caso la conduzione lungo il fascicolo non è del tutto interrotta, ma solo più o meno rallentata. La coesistenza di emiblocco anteriore sinistro e di blocco di branca destra, può oscurare in tutto o in parte le caratteristiche elettrocardiografiche di quest’ultimo. Il blocco di branca sinistra comporta netta dissincronia meccanica, che può arrivare a compromettere la funzione ventricolare sinistra e a peggiorare la prognosi. La concordanza tra QRS e onda T nelle derivazioni precordiali laterali, in presenza di blocco di branca sinistra, è frequente nel caso il disturbo di conduzione sia idiopatico, e comunque si correla con una minore gravità della condizione cardiaca sottostante.
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Metadata
- Type
- article
- Language
- it
- Landing Page
- https://doi.org/10.17473/1971-6818-2024-1-9
- https://www.cardiologiaambulatoriale.eu/electrocardiological-review-of-intraventricular-conduction-disorders/?upm_export=pdf
- OA Status
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All OpenAlex metadata
Raw OpenAlex JSON
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https://doi.org/10.17473/1971-6818-2024-1-9Digital Object Identifier
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Rivisitazione elettrocardiologica dei disturbi della conduzione intraventricolareWork title
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articleOpenAlex work type
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itPrimary language
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2024Year of publication
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2024-03-30Full publication date if available
- Authors
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Marcello Costantini, Luigi Sciarra, Lorenzo Costantini, Mario Previtali, Vincenzo Carbone, Domenico Catanzariti, Francesco Notaristefano, Giuseppe BaglianiList of authors in order
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https://doi.org/10.17473/1971-6818-2024-1-9Publisher landing page
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https://www.cardiologiaambulatoriale.eu/electrocardiological-review-of-intraventricular-conduction-disorders/?upm_export=pdfDirect link to full text PDF
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bronzeOpen access status per OpenAlex
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https://www.cardiologiaambulatoriale.eu/electrocardiological-review-of-intraventricular-conduction-disorders/?upm_export=pdfDirect OA link when available
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Humanities, Philosophy, Art, PhysicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.fase | 152, 170 |
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| abstract_inverted_index.solo | 198 |
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| abstract_inverted_index.blocco; | 102 |
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| abstract_inverted_index.essere: | 66 |
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| abstract_inverted_index.fascicolo | 191 |
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| abstract_inverted_index.frequenza | 135 |
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| abstract_inverted_index.scomparsa | 100 |
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| abstract_inverted_index.condizioni | 28 |
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| abstract_inverted_index.fascicoli, | 49 |
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| abstract_inverted_index.intermittente, | 104 |
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| abstract_inverted_index.tachicardia-dipendente | 149 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.11524371 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |