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宽 QRS 心动过速的诊断标准:几十年的演变。

Diagnostic criteria of broad QRS complex tachycardia: decades of evolution.

机构信息

Department of Cardiology, Maastricht University Medical Center, P. Debyelaan 25, PO Box 5800, 6229 HX Maastricht, The Netherlands.

出版信息

Europace. 2011 Apr;13(4):465-72. doi: 10.1093/europace/euq430. Epub 2010 Dec 3.

DOI:10.1093/europace/euq430
PMID:21131372
Abstract

Broad QRS complex tachycardia still presents a diagnostic challenge when confronted with a 12-lead electrocardiogram (ECG). The ECG differential diagnosis includes ventricular tachycardia vs. supraventricular tachycardia with functional aberration, pre-existing bundle branch block, intraventricular conduction disturbances, or pre-excitation. Despite all available criteria, broad complex tachycardias are still misdiagnosed or remain undiagnosed. This paper will briefly review the most recognized criteria.

摘要

宽 QRS 心动过速在面对 12 导联心电图(ECG)时仍然存在诊断挑战。ECG 的鉴别诊断包括室性心动过速与功能性异常、预激综合征、束支传导阻滞、室内传导障碍或预激的室上性心动过速。尽管有所有可用的标准,宽复合心动过速仍然存在误诊或未确诊的情况。本文将简要回顾最被认可的标准。

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