Pv1 -PE 时距在室上速分型诊断中的应用(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 1995年第1期
- 页码:
- 29-32
- 栏目:
- 论著
- 出版日期:
- 1995-01-01
文章信息/Info
- Title:
- Evaluation of PV1-PE interval in classified diagnosis of supraventricular tachycardia
- 作者:
- 钱大慈 杨显祖
- 常州市第一人民医院 常州 213003
- Author(s):
- Qian Daci; Yang Xianzu
- The First People,s Hospital of Changzhou，Changzhou 213003
- Keywords:
- atrial pacing of transesophageal; supraventricular tachycardia; atrial actlVatlon sequence.
- 分类号:
- -
- DOI:
- -
- 文献标识码:
- -
- 摘要:
- 本文采用一个体表右胸单极导联(v
1 )和两个食道单极导联，同步记录心电图，进行无创性心房激动顺序标测，通过对49例室上速病人在窦律时和室上适时Pv1 -PE 时距的测定，发现房室折返性心动过速与房室结折返性心动过速有明显的区别。在房室结折返性心动过适中。左侧隐匿性旁道和A型预激综合征所致的房室折返的Pv1 -PE 时距非常接近，与B型预激综合征有显著性差异。结果表明：Pv1 -PE 时距在室上速的分型诊断中，特别是在房室折返性心动过速与房室结折返性心动过速的鉴别诊断中，是一项易观察和很有实用价值的指标。
- Abstract:
- A synchronized recording electrocardiogram was used with one nght precardlal lead(v
1 )and two esophagus electrodes(PEp ，PEd<>/inf)for noninvasive atrium determination In sequence.The P v1 -PE interval of 49 cases of SVT was determined separately when they were ln normal rhythm or SVT attacking.It was found that there was a significant difference between AVRT and AVNRT.In the case of AVRT，the Pv1 -PE interval of left concealed by pass was rather close to that of type-A preexcitation syndrome but notable different from that of type-B preexcitation syndrome．So we consider that the Pv1 -PE interval used in the cases of AVRT and AVNRT is a simple and practical index.
参考文献/References
［1］黄自珍，等.P
［2］李之龙，等.单极食道心房电图确定心房激动程序．心电学杂志1987；6:2.
［3］邓昭文，等.隐匿性房室旁道无创性诊断标准的探讨.心电学杂志1990；9：206.
［4］吴 宁，等.食管导联在房室旁道定位中的作用．心电学杂志1989；8：55.
［5］宁佩萸 食道心房调搏术临床实用手册．北京：中国展望出版社，1987；10～22.
［6］邓昭文，等.食管心房调搏诊断右侧隐性旁路所致房室折返性心动过速．心电学杂志1990；9:138.
备注/Memo
- 备注/Memo:
- Received 1993-09-03；revised 1994-03-14
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更新日期/Last Update: 1995-01-01