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|本期目录/Table of Contents|

体表心电图对阵发性窄QRS波心动过速鉴别诊断及定位的价值

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2015年第3期
页码:
301-303
栏目:
临床研究
出版日期:
2015-01-11

文章信息/Info

Title:
Value of body surface electrocardiogram in differential diagnosis and localization of paroxysmal narrow QRS tachycardia
作者:
彭 毅1; 任 澎2
(1.石河子大学医学院，新疆 石河子 832000；
2.新疆自治区人民医院心内科，新疆 乌鲁木齐 830000)
Author(s):
PENG Yi1;  REN Peng2
(1.School of Medicine, Shihezi University, Shihezi 832000, Xinjiang, China；
2.Department of Cardiology, People’s Hospital, Xinjiang Autonomous Region, Urumqi 830000, Xinjiang, China)
关键词:
体表心电图; 窄QRS波心动过速; 房室结折返性心动过速; 房室折返性心动过速
Keywords:
body surface electrocardiogram;  narrow QRS wave tachycardia;  atrioventricular nodal reentrant tachycardia;  atrioventricular reentrant tachycardia
分类号:
R540.4 ;R541.7
DOI:
-
文献标识码:
A
摘要:
目的:通过分析152例阵发性窄QRS波心动过速（NQRST）患者体表心电图（ECG）的6种指标，探讨ECG对NQRST鉴别诊断及定位的价值。方法:选取152例NQRST患者，其中94例为房室结折返性心动过速(AVNRT)，42例为房室折返性心动过速（AVRT)，16例为房性心动过速(AT)。上述患者电生理机制均经腔内电生理检查所证实，对比分析每位患者窦性心律及心动过速发作时体表心电图在心率、ST-T改变、QRS波电交替、R-P′/P′-R
Abstract:
AIM:To explore the value of body surface electrocardiogram (ECG) in the differential diagnosis and localization of narrow QRS wave tachycardia (NQRST). METHODS: One hundred and fifty-two NQRST patients were included in the study, among whom 94 were cases of atrioventricular nodal reentrant tachycardia (AVNRT), 42 cases of atrioventricular reentrant tachycardia (AVRT) and 16 cases of atrial tachycardia (AT). Electrophysiological mechanisms of these patients were confirmed by electrophysiological examinations, and sinus rhythm and tachycardia ECG index changes were analyzed and compared, including heart rate; ST-T changes; QRS wave alternans; R-P′/P′-R

参考文献/References

[1]余盛华,李丽华.窄QRS波心动过速分析方法及鉴别诊断——AVR导联ST段抬高对AVNRT诊断的意义[J].当代医学,2013,19(28):74-75.
[2]张正海,刘长虹,张建军.体表心电图对窄QRS波阵发性心动过速的鉴别价值[J].实用心电学杂志,2009(2):126-127.
[3]王 蒙,陈良华,宋尚明,等.心电图aVL导联对阵发性室上性心动过速折返途径的鉴别作用[J].中国循环杂志,2010,25(5):356-359.
[4]González-Torrecilla E,Almendral J,Arenal A,et al.Independent predictive accuracy of classical electrocardiographic criteria in the diagnosis of paroxysmal atrioventricular reciprocating tachycardias in patientswithout preexcitation[J].Europace,2008,10(5):624-628.
[5]Ho YL,Lin LY,Lin JL,et al.Usefulness of ST-segment elevation in Lead aVR during tachycardia for determining the mechanism of narrow QRS complex tachycardia[J].Am J Cardiol,2003,92(12):1424-1428.
[6]张慧萍,柴颖儒.房室结双径路与隐匿性房室旁路体表心电图的观察[J].临床医药实践,2010,19(8):580-582.
[7]王 林,惠 杰,蒋庭波,等.aVR导联ST段抬高对阵发性室上性心动过速的鉴别价值[J].中国心脏起搏与心电生理杂志,2008,22(1):54-56.
[8]李 芳,罗玉寅,沈 艳,等.窄QRS波群室上性心动过速时ST-T改变的临床意义[J].心电学杂志,2005,24(4):201-203.

备注/Memo

备注/Memo:
收稿日期：2014-08-19.
通讯作者：任澎，主任医师，主要从事心脏起搏与电生理研究Email：1448908219qq.com
作者简介：彭毅，住院医师，硕士生Email：54pengyi@163.com
更新日期/Last Update: 2015-02-03