心电图的陷阱与伪差：十条戒律
Electrocardiography pitfalls and artifacts: the 10 commandments.
作者信息
Baranchuk Adrian, Shaw Catherine, Alanazi Haitham, Campbell Debra, Bally Kathy, Redfearn Damian P, Simpson Christopher S, Abdollah Hoshiar
机构信息
Department of Cardiology, Queen's University, and Cardiac Electrophysiology and Pacing, Kingston General Hospital, Kingston, Ontario, Canada.
出版信息
Crit Care Nurse. 2009 Feb;29(1):67-73. doi: 10.4037/ccn2009607.
Artifacts are common in patients who require ECG monitoring. Artifacts can simulate arrhythmias such as atrial flutter and ventricular tachycardia and lead to inappropriate treatment. Electrode and lead misplacements are another common pitfall and can lead to ECG changes that may be interpreted as ischemic in origin and can mimic serious arrhythmias. A simplified algorithm (REVERSE is the mnemonic) may help clinicians correctly identify both suspected electrode misplacements and artifacts.
在需要进行心电图监测的患者中，伪差很常见。伪差可模拟心律失常，如心房扑动和室性心动过速，并导致不适当的治疗。电极和导联放置不当是另一个常见的陷阱，可导致心电图改变，这些改变可能被解释为缺血性起源，并可模仿严重心律失常。一种简化的算法（助记符为REVERSE）可能有助于临床医生正确识别疑似电极放置不当和伪差。
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