关于S.S. Zimnitsky关于心电图上室性心动过速后巨大T波的起源的问题

V. Oslopov, Ослопов Владимир Николаевич, Yu. S. Mishanina, Мишанина Юлиана Сергеевна
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摘要

国内杰出科学家S.S. Zimnitsky对生命、医学和科学活动的研究一直引起并将继续引起人们极大的兴趣。作为一名科学家,他的多才多艺继续令人惊叹。许多今天仍然相关的问题是由S.S. Zimnitsky提出的,在21世纪没有完全解决。重病的S.S. Zimnitsky向另一位杰出的俄罗斯科学家,俄罗斯生理科学的灯塔——A.F.萨莫伊洛夫提出了一个众所周知的问题,但没有答案。这个问题涉及到心电图上室性心动过速后第一个QRS复合体中巨大正T波的来源。这个问题仍然没有答案。我们认为,这是因为到20世纪20年代末(S.S. Zimnitsky于1927年去世),无论是在健康心肌还是患病心肌中,复极过程的微妙机制都无法理解。本文阐述了我们对津尼茨基的T波起源的原始观点。我们相信对这个问题进行科学的讨论是完全可能的。毫无疑问,S.S. Zimnitsky的生活和科学活动一直吸引并将继续吸引医学史家和实践医生、科学家和好奇的学生的注意。
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To the question of S.S. Zimnitsky on the origin of the giant T wave after ventricular extrasystole on an electrocardiogram
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.
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