Breijo-Marquez Francisco R, Rios Manuel Pardo
Faculty of Medicine, University of Murcia, Cardiology, Campus Universitary, Murcia, 30100, Spain.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0284. Epub 2009 Mar 17.
The electrical cardiac systole originates from the beginning of the P wave (atrial depolarisation) until the end of the downward branch of the T wave (ventricular repolarisation). It includes, therefore, succession P-QRS-T and its corresponding intervals and segments: PQ, ST, and QT. The mathematical possibilities of variability in the length of the electrical systole of the heart may be diverse. It is well documented and established that such changes in length may make the myocardial cells more vulnerable and unstable, and may also cause serious cardiac arrhythmias and even sudden death. The current presentation illustrates these electrocardiographic entities with significant variations in the length of its waves and intervals: short PQ and QT intervals, short PQ and long QT, long PQ and long QT. All parameters appeared in young adult males.
心电收缩期始于P波起始(心房去极化),直至T波下降支末端(心室复极化)。因此,它包括连续的P-QRS-T及其相应的间期和段:PQ、ST和QT。心脏电收缩期长度变化的数学可能性可能多种多样。有充分的文献记载并证实,这种长度变化可能使心肌细胞更易受损且不稳定,还可能导致严重的心律失常甚至猝死。本病例展示了这些心电图特征,其波形和间期长度有显著变化:PQ间期和QT间期缩短、PQ间期缩短和QT间期延长、PQ间期延长和QT间期延长。所有参数均出现在年轻成年男性中。