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心电图显示QRS波群碎裂的埃布斯坦畸形。

Ebstein Anomaly With QRS Fragmentation on Electrocardiogram.

作者信息

Acharya Prakash, Ang Jonathan Ross, Gitler Bernard

机构信息

Montefiore New Rochelle Hospital, New Rochelle, NY, USA.

University of Missouri Health Care, Columbia, MO, USA.

出版信息

J Investig Med High Impact Case Rep. 2017 Jan 1;5(1):2324709616688710. doi: 10.1177/2324709616688710. eCollection 2017 Jan-Mar.

DOI:10.1177/2324709616688710
PMID:28203575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5298433/
Abstract

Ebstein anomaly is a rare congenital disorder that involves the tricuspid valve and the right ventricle. It is associated with interatrial communication, which allows for paradoxical embolization causing unilateral blindness. Abnormal conduction through the atrialized right ventricle leads to QRS fragmentation on electrocardiogram. Its presence suggests a more severe abnormality and a higher risk of arrhythmia. The QRS fragmentation disappears after corrective surgery with resection of the atrialized right ventricle.

摘要

埃布斯坦畸形是一种罕见的先天性疾病，累及三尖瓣和右心室。它与心房间交通有关，可导致反常栓塞，引起单眼失明。通过房化右心室的异常传导导致心电图上QRS波群碎裂。其出现提示存在更严重的异常以及更高的心律失常风险。在切除房化右心室的矫正手术后，QRS波群碎裂消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/50ab1a1d538a/10.1177_2324709616688710-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/1f54ac263570/10.1177_2324709616688710-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/410758f6af39/10.1177_2324709616688710-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/96292033e198/10.1177_2324709616688710-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/50ab1a1d538a/10.1177_2324709616688710-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/1f54ac263570/10.1177_2324709616688710-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/410758f6af39/10.1177_2324709616688710-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/96292033e198/10.1177_2324709616688710-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/5298433/50ab1a1d538a/10.1177_2324709616688710-fig4.jpg

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本文引用的文献

1
Fragmented QRS complex in adult patients with Ebstein anomaly and its association with arrhythmic risk and the severity of the anomaly.成人埃布斯坦畸形患者的碎裂 QRS 复合波及其与心律失常风险和畸形严重程度的关系。
Circ Arrhythm Electrophysiol. 2013 Dec;6(6):1148-55. doi: 10.1161/CIRCEP.113.000636. Epub 2013 Nov 14.
2
Patterns in the prevalence of congenital heart defects, metropolitan Atlanta, 1978 to 2005.1978年至2005年亚特兰大大都市先天性心脏缺陷患病率模式
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QRS duration and QRS fractionation on surface electrocardiogram are markers of right ventricular dysfunction and atrialization in patients with Ebstein anomaly.
Ann Noninvasive Electrocardiol. 2019 May;24(3):e12590. doi: 10.1111/anec.12590. Epub 2018 Aug 14.
体表心电图的 QRS 时限和 QRS 碎裂是 Ebstein 畸形患者右心室功能障碍和心房化的标志物。
Eur Heart J. 2013 Jan;34(3):191-200. doi: 10.1093/eurheartj/ehs362. Epub 2012 Nov 1.
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Cardiac magnetic resonance imaging and the assessment of ebstein anomaly in adults.心脏磁共振成像与成人埃布斯坦畸形评估。
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The outcomes of operations for 539 patients with Ebstein anomaly.539例埃布斯坦畸形患者的手术结果。
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Ebstein's anomaly.埃布斯坦畸形
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Ebstein's malformation: a clinical and laboratory study.埃布斯坦畸形：一项临床与实验室研究。
Medicine (Baltimore). 1956 Sep;35(3):161-85.
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Ebstein's anomaly in adults. Arrhythmias: diagnosis and therapeutic approach.成人埃布斯坦畸形。心律失常：诊断与治疗方法。
Thorac Cardiovasc Surg. 2000 Aug;48(4):214-9. doi: 10.1055/s-2000-6897.
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