Section of Cardiology, Department of Medicine, Louisiana State University Health Sciences Center and University Medical Center, New Orleans, Louisiana.
Section of Cardiology, Department of Medicine, Tulane University, New Orleans, Louisiana.
Am J Cardiol. 2018 Jan 15;121(2):275-276. doi: 10.1016/j.amjcard.2017.09.035. Epub 2017 Oct 19.
In a man with a wide-QRS complex tachycardia, a history of an inferior left ventricular scar, atrioventricular dissociation during the tachycardia, and a QRS morphology inconsistent with right or left bundle branch block exclude a diagnosis of supraventricular tachycardia with aberrant ventricular conduction due to bundle branch block or ventricular preexcitation and establish a diagnosis of ventricular tachycardia.
在一位宽 QRS 心动过速的男性患者中，有下壁左心室陈旧性瘢痕的病史，心动过速时存在房室分离，以及 QRS 形态不符合右束支或左束支阻滞，可排除因束支阻滞或心室预激导致的室上性心动过速合并异常心室传导的诊断，确立了室性心动过速的诊断。
