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瘢痕相关峡部心室起搏期间QRS形态突然改变 其机制是什么?

Sudden QRS morphology change during ventricular pacing in a scar-related isthmus What is the mechanism?

作者信息

Maury Philippe, Rollin Anne, Sellal Jean-Marc, Duparc Alexandre, Mondoly Pierre, Cardin Christelle, De Chillou Christian

机构信息

University Hospital Rangueil Toulouse, France.

University Hospital Rangueil Toulouse, France.

出版信息

J Electrocardiol. 2016 Nov-Dec;49(6):973-976. doi: 10.1016/j.jelectrocard.2016.07.035. Epub 2016 Aug 4.

DOI:10.1016/j.jelectrocard.2016.07.035
PMID:27567390
Abstract

We present an example of sudden modification in QRS morphology during ventricular pacing inside a scar-related isthmus. This is explained by a "concealed" sudden block in both the orthodromic and antidromic wavefront directions, allowing then the activation to proceed through a now overt antidromic conduction.

摘要

我们展示了一个在瘢痕相关峡部内进行心室起搏时QRS形态突然改变的例子。这是由顺向和逆向波前方向上的“隐匿性”突然阻滞所解释的,随后允许激动通过现在明显的逆向传导继续进行。

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