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[早期心室复极综合征的临床心电图分类]

[The clinico-electrocardiographic classification of the early ventricular repolarization syndrome].

作者信息

Vorob'ev L P, Gribkova I N, Petrusenko N M, Trofimenko N B

出版信息

Ter Arkh. 1992;64(3):93-7.

PMID:1440288
Abstract

Based on an analysis of 4980 ECGs of patients, the authors could distinguish and classify the clinico-electrocardiographic versions of the early ventricular repolarization syndrome (EVRS): permanent, occurring for the first time, suddenly disappearing, intermittent with a gigantic T wave; with a negative T wave, with a short-term T wave inversion, marked by the combination with Wolff-Parkinson-White syndrome, and additional chordae of the left ventricle. The clinico-electrocardiographic classification of the EVRS is of paramount importance for practitioners owing to an assumption that the EVRS is not only a version of the normal ECG but also can be a marker of CHD. The authors view the EVRS as an independent version of the preexcitation syndrome along with Wolff-Parkinson-White and CLK syndromes, with the manifestations of which it may combine.

摘要

基于对4980例患者心电图的分析,作者能够区分和分类早期心室复极综合征(EVRS)的临床心电图类型:永久性、首次出现、突然消失、伴有巨大T波的间歇性;伴有负向T波、短期T波倒置、与预激综合征合并以及左心室附加腱索。EVRS的临床心电图分类对从业者至关重要,因为有一种假设认为EVRS不仅是正常心电图的一种类型,还可能是冠心病的一个标志物。作者将EVRS视为预激综合征的一种独立类型,与预激综合征和隐匿性旁道综合征一起,它可能与之合并出现。

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