中国心血管杂志2024,Vol.29Issue(2) :188-192.DOI:10.3969/j.issn.1007-5410.2024.02.018

宽QRS波心动过速心电图的鉴别诊断原理

Differential diagnosis principle of wide QRS complex tachycardia of electrocardiogram

刘阔 段芳 贾沁洁 王鹏博 周子涵 王倩 刘德敏 耿雪 崔炜
中国心血管杂志2024,Vol.29Issue(2) :188-192.DOI:10.3969/j.issn.1007-5410.2024.02.018

宽QRS波心动过速心电图的鉴别诊断原理

Differential diagnosis principle of wide QRS complex tachycardia of electrocardiogram

刘阔 1段芳 1贾沁洁 1王鹏博 1周子涵 1王倩 1刘德敏 1耿雪 1崔炜1
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作者信息

  • 1. 050000 石家庄,河北医科大学第二医院河北省心脑血管病研究所心内一科
  • 折叠

摘要

宽QRS波心动过速的鉴别诊断主要围绕异常传导的室上性心动过速和室性心动过速进行.起搏点独立于窦房结和(或)心房、传导方向异常及传导速度异常是依据心电图鉴别宽QRS波心动过速的基本原理.本文从以上三个方面结合病史及查体总结了通过心电图图形特征进行鉴别诊断的具体方法.

Abstract

The differential diagnosis of wide QRS complex tachycardia of electrocardiogram(ECG)mainly refers to the abnormal conduction of supraventricular tachycardia and ventricular tachycardia.Pacemaker independence from sinus node or atrium,abnormal conduction direction and abnormal conduction velocity are the basic principles of identifying wide QRS complex tachycardia based on ECG.This article mainly summarizes the specific methods of differential diagnosis through ECG graphic features,combining medical history and physical examination from the above three aspects.

关键词

心电图/心律失常/宽QRS波心动过速/鉴别诊断

Key words

Electrocardiogram/Arrhythmias/Wide QRS complex tachycardia/Differential diagnosis

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出版年

2024
中国心血管杂志
卫生部北京医院,天津医科大学

中国心血管杂志

CSTPCDCSCD北大核心
影响因子:0.993
ISSN:1007-5410
参考文献量22
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