形态多变的宽QRS波节律：病因是什么？

Variable morphology wide complex rhythm: what is the etiology?

作者信息

Silver Eric S, Starc Thomas J, Pass Robert H, Liberman Leonardo

机构信息

Pediatric Arrhythmia Service, Division of Pediatric Cardiology, Morgan Stanley Children's Hospital of New York Presbyterian Hospital, Columbia University, New York, New York 10032, USA.

出版信息

Ann Noninvasive Electrocardiol. 2008 Jan;13(1):92-4. doi: 10.1111/j.1542-474X.2007.00206.x.

DOI:10.1111/j.1542-474X.2007.00206.x

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6932508/

Abstract

We report a case of an infant who developed transient complete heart block following aortic and mitral valve surgery. In the course of his recovery, he developed a variable morphology wide complex rhythm with intermittent narrow complex beats. Review of his initial postoperative electrocardiogram (ECG), which demonstrated a right bundle branch block, helped to clarify the rhythm.

摘要

我们报告一例婴儿在主动脉和二尖瓣手术后出现短暂性完全性心脏传导阻滞。在恢复过程中，他出现了形态多变的宽QRS波群心律，并伴有间歇性窄QRS波群搏动。回顾其术后初期的心电图（ECG）显示右束支传导阻滞，这有助于明确心律。

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本文引用的文献

1

QRS normalization by ventricular fusion. A study of intraventricular conduction.通过心室融合实现QRS波正常化。一项关于心室内传导的研究。

Pacing Clin Electrophysiol. 1981 Jul;4(4):448-51. doi: 10.1111/j.1540-8159.1981.tb03725.x.

2

Concealed right bundle branch block in the presence of type B ventricular pre-excitation.

Am Heart J. 1969 May;77(5):668-76. doi: 10.1016/0002-8703(69)90553-5.

3

A study in intracardiac conduction. 'Normalization' of bundle-branch block by fusion with ventricular escape beats.一项关于心内传导的研究。束支传导阻滞通过与心室逸搏融合实现“正常化”。

Br Heart J. 1972 Feb;34(2):213-6. doi: 10.1136/hrt.34.2.213.

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