To the question of S.S. Zimnitsky on the origin of the giant T wave after ventricular extrasystole on an electrocardiogram

Cover Page
Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract


The study of life, medical and scientific activities of the outstanding domestic scientist S.S. Zimnitsky always causes and will cause great interest. The versatility of his talent as a scientist continues to amaze. Many of the issues that remain relevant today raised by S.S. Zimnitsky, not fully resolved in the XXI century. There were no answers to the well-known question asked by the seriously ill S.S. Zimnitsky to another prominent Russian scientist, the beacon of Russian physiological science — A.F. Samoilov. This question concerned the origin of the giant positive T wave in the first QRS complex after the ventricular extrasystole on the electrocardiogram. The question remained unanswered. We believe that this was because by the end of the 20s of the XX century (S.S. Zimnitsky died in 1927), the delicate mechanisms of repolarization processes were not able to understand, in both healthy and diseased myocardium. The article sets forth our original point of view on the genesis of such a T wave in S.S. Zimnitsky. We believe that a scientific discussion on this issue is quite possible. There is no doubt that both life and scientific activities of S.S. Zimnitsky has always attracted and will attract the attention of both medical historians and practical doctors, scientists and inquisitive students.


Full Text

Restricted Access

About the authors

V N Oslopov

Kazan State Medical University

Email: mishanina.1998@list.ru

Russian Federation, Kazan, Russia

Yu S Mishanina

Kazan State Medical University

Author for correspondence.
Email: mishanina.1998@list.ru

Russian Federation, Kazan, Russia

References

  1. Zimnitsky S.S. Angina pectoris, syphilis — their relationship and treatment. Klinicheskaya me­ditsina. 1925; 3 (5): 125–129. (In Russ.)
  2. Samoilov A.F. Elektrokardiogramma. (Electrokardiogram.) Kazan: Medicine. 2017; 75 p. (In Russ.)
  3. Wilson F.N., McLeod A.G., Johnston F.D. et al. Monophasic electrical response produced by the contraction of injured heart muscle. Proc. Soc. Exp. Biol. 1933; 30: 797.
  4. Wilson F., Macleod A., Baker P., Johnson F. Determination of significance of the areas of the ventricular detections of the electrocardiogram. Am. Heart J. 1934; 10: 46–61.
  5. Wilson F.N., Rosenbaum F.F., Johnston F.D. Interpretation of the ventricular complex of the electrocardiogram. Adv. Intern. Med. 1947; 2: 1.
  6. Syrkin A.L., Novikova N.A., Terehin S.A. Ostryy koronarnyy sindrom. (Acute coronary syndrome.) M.: MIA. 2010; 440 p. (In Russ.)
  7. Echocardiography. 5th edition. Harvey Feigenbaum, M.D. Lea & Febiger. 1994; 695 p. (Feigenbaum H. Echocardiography. From English under ed. V.V. Mitkov. 5th ed. M.: Vidar. 1999; 511 p.)

Supplementary files

Supplementary Files Action
1.
Рис. 1. Электрокардиограмма. Синусовый ритм прерывается желудочковой и суправентрикулярной экстрасистолами (тригеминия)

Download (23KB) Indexing metadata
2.
Рис. 2. Электрокардиограмма: а — вставочная желудочковая экстрасистола с рефрактерностью атриовентрикулярного соединения; б — вставочная желудочковая экстрасистола без нарушения проведения в атриовентрикулярном соединении; в — пациент К. перенёс нижний инфаркт миокарда; синусовый ритм прерывается желудочковой вставочной экстрасистолой, зубец Т пост­экстрасистолического комплекса идентичен зубцу Т предэкстрасистолического комплекса

Download (117KB) Indexing metadata

Statistics

Views

Abstract - 74

PDF (Russian) - 4

Cited-By


PlumX

Dimensions


© 2020 Oslopov V.N., Mishanina Y.S.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.





This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies