碎裂 QRS 波群：心血管疾病的一个新标志物。
Fragmented QRS complex: a novel marker of cardiovascular disease.
机构信息
Department of Internal Medicine, Maimonides Medical Center, Brooklyn, New York 11220, USA.
出版信息
Clin Cardiol. 2010 Feb;33(2):68-71. doi: 10.1002/clc.20709.
Abstract
QRS complex fragmentation, defined as changes in QRS morphology with different RSR' patterns: additional R waves, notched S wave, or > 1R' wave, has recently been linked with various cardiac conditions and even been postulated to be predictive of outcomes in certain pathologies. The current article aims to consolidate the available information about this morphological ECG abnormality and its predictive value.
摘要
QRS 复合波碎裂，定义为 QRS 形态发生变化，伴有不同的 RSR' 形态：附加 R 波、切迹 S 波或 >1R' 波，最近与各种心脏疾病相关联，甚至被推测在某些病理情况下具有预测预后的价值。本文旨在整合有关这种形态 ECG 异常及其预测价值的现有信息。
相似文献
1
Fragmented QRS complex: a novel marker of cardiovascular disease.
Clin Cardiol. 2010 Feb;33(2):68-71. doi: 10.1002/clc.20709.
2
QRS fragmentation: diagnostic and prognostic significance.
Cardiol J. 2012;19(2):114-21. doi: 10.5603/cj.2012.0022.
3
Which patients are not suitable for a subcutaneous ICD: incidence and predictors of failed QRS-T-wave morphology screening.
J Cardiovasc Electrophysiol. 2014 May;25(5):494-499. doi: 10.1111/jce.12343. Epub 2014 Jan 7.
4
QRS Fragmentation and QTc Duration Relate to Malignant Ventricular Tachyarrhythmias and Sudden Cardiac Death in Patients with Hypertrophic Cardiomyopathy.
J Cardiovasc Electrophysiol. 2015 May;26(5):547-55. doi: 10.1111/jce.12629. Epub 2015 Mar 27.
5
Prevalence and prognostic significance of fragmented QRS complex in middle-aged subjects with and without clinical or electrocardiographic evidence of cardiac disease.
Am J Cardiol. 2014 Jul 1;114(1):141-7. doi: 10.1016/j.amjcard.2014.03.066. Epub 2014 Apr 18.
6
Augmented QRS notching and macroscopic T-wave alternans preceding polymorphic ventricular tachycardia in a patient with electrical storm.
Europace. 2017 Apr 1;19(4):643. doi: 10.1093/europace/euw263.
7
Fragmented QRS and mortality risk in patients with left ventricular dysfunction.
Circ Arrhythm Electrophysiol. 2010 Aug;3(4):339-44. doi: 10.1161/CIRCEP.110.940478. Epub 2010 May 28.
8
Prognostic value of QRS fragmentation in patients with arrhythmogenic right ventricular cardiomyopathy/dysplasia.
J Cardiovasc Med (Hagerstown). 2012 May;13(5):295-8. doi: 10.2459/JCM.0b013e32834bed0a.
9
Prognostic significance of fragmented QRS complex for predicting the risk of recurrent cardiac events in patients with Q-wave myocardial infarction.
Am J Cardiol. 2007 Aug 15;100(4):583-6. doi: 10.1016/j.amjcard.2007.03.063. Epub 2007 Jun 29.
10
Prognostic significance of QRS duration and morphology.
Cardiol J. 2011;18(1):8-17.
引用本文的文献
1
Frontal QRS-T angle remains unchanged in fibromyalgia: a cross-sectional study with implications for routine ECG screening.
Front Med (Lausanne). 2025 Jul 8;12:1615561. doi: 10.3389/fmed.2025.1615561. eCollection 2025.
2
The Relationship between Fragmented QRS and Myocardial Injury in Patients with Acute Carbon Monoxide Poisoning.
Medicina (Kaunas). 2024 May 28;60(6):891. doi: 10.3390/medicina60060891.
3
Validity of the Polar H10 Sensor for Heart Rate Variability Analysis during Resting State and Incremental Exercise in Recreational Men and Women.
Sensors (Basel). 2022 Aug 30;22(17):6536. doi: 10.3390/s22176536.
4
The Movesense Medical Sensor Chest Belt Device as Single Channel ECG for RR Interval Detection and HRV Analysis during Resting State and Incremental Exercise: A Cross-Sectional Validation Study.
Sensors (Basel). 2022 Mar 5;22(5):2032. doi: 10.3390/s22052032.
5
Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network.
Br J Sports Med. 2021 Jul;55(14):767-779. doi: 10.1136/bjsports-2020-103148. Epub 2021 Jan 4.
6
Wearable Physiological Monitoring System Based on Electrocardiography and Electromyography for Upper Limb Rehabilitation Training.
Sensors (Basel). 2020 Aug 28;20(17):4861. doi: 10.3390/s20174861.
7
Fragmented QRS as an early predictor of left ventricular systolic dysfunction in healthy individuals: a nested case-control study in the era of speckle tracking echocardiography.
Cardiovasc Ultrasound. 2020 Aug 13;18(1):33. doi: 10.1186/s12947-020-00216-z.
8
Investigation of short-term prognosis of fragmented QRS complexes in patients with acute myocardial infarction in two groups that received invasive and fibrinolytic therapy.
Indian Heart J. 2020 Jan-Feb;72(1):46-51. doi: 10.1016/j.ihj.2020.01.004. Epub 2020 Jan 22.
9
Arrhythmias and Sudden Cardiac Death in Beta-Thalassemia Major Patients: Noninvasive Diagnostic Tools and Early Markers.
Cardiol Res Pract. 2019 Nov 30;2019:9319832. doi: 10.1155/2019/9319832. eCollection 2019.
10
Fragmented QRS on surface electrocardiogram as a predictor of perfusion defect in patients with suspected coronary artery disease undergoing myocardial perfusion imaging.
Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S177-S181. doi: 10.1016/j.ihj.2018.09.011. Epub 2018 Oct 10.
本文引用的文献
1
Usefulness of fragmented QRS on a 12-lead electrocardiogram in acute coronary syndrome for predicting mortality.
Am J Cardiol. 2009 Dec 15;104(12):1631-7. doi: 10.1016/j.amjcard.2009.07.046.
2
[Magnetcardiographic detection of abnormal intraventricular activation in patients with ischemic heart disease with and without tachycardia].
Herzschrittmacherther Elektrophysiol. 1997 Sep;8(3):195-204. doi: 10.1007/BF03042402.
3
Fragmented QRS: a predictor of mortality and sudden cardiac death.
Heart Rhythm. 2009 Mar;6(3 Suppl):S8-14. doi: 10.1016/j.hrthm.2008.10.019. Epub 2008 Oct 17.
4
Fragmented QRS as a marker of conduction abnormality and a predictor of prognosis of Brugada syndrome.
Circulation. 2008 Oct 21;118(17):1697-704. doi: 10.1161/CIRCULATIONAHA.108.770917. Epub 2008 Oct 6.
5
QRS fragmentation in standard ECG as a diagnostic marker of arrhythmogenic right ventricular dysplasia-cardiomyopathy.
Heart Rhythm. 2008 Oct;5(10):1417-21. doi: 10.1016/j.hrthm.2008.07.012. Epub 2008 Jul 11.
6
Early repolarization revisited.
N Engl J Med. 2008 May 8;358(19):2063-5. doi: 10.1056/NEJMe0801060.
7
Sudden cardiac arrest associated with early repolarization.
N Engl J Med. 2008 May 8;358(19):2016-23. doi: 10.1056/NEJMoa071968.
8
Electrocardiographic signs of remote myocardial infarction.
Prog Cardiovasc Dis. 2007 Nov-Dec;50(3):198-208. doi: 10.1016/j.pcad.2007.05.003.
9
Fragmented QRS on a 12-lead ECG: a predictor of mortality and cardiac events in patients with coronary artery disease.
Heart Rhythm. 2007 Nov;4(11):1385-92. doi: 10.1016/j.hrthm.2007.06.024. Epub 2007 Aug 1.
10
Prognostic significance of fragmented QRS complex for predicting the risk of recurrent cardiac events in patients with Q-wave myocardial infarction.
Am J Cardiol. 2007 Aug 15;100(4):583-6. doi: 10.1016/j.amjcard.2007.03.063. Epub 2007 Jun 29.
Zotero 插件