Bagliani Giuseppe, Della Rocca Domenico Giovanni, De Ponti Roberto, Capucci Alessandro, Padeletti Margherita, Natale Andrea
Arrhythmology Unit, Cardiology Department, Foligno General Hospital, Via Massimo Arcamone, Foligno, Perguia, Italy; Cardiovascular Diseases Department, University of Perugia, Perugia, Italy.
Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N Interstate Hwy 35 #700, Austin, TX 78705, USA.
Card Electrophysiol Clin. 2018 Jun;10(2):257-275. doi: 10.1016/j.ccep.2018.02.013.
Premature complexes are electrical impulses arising from atrial, junctional, or ventricular tissue, leading to premature heart beats. Premature atrial beats are much more frequent than those arising in the atrioventricular junction but less frequent than premature beats from the ventricles. Although they are usually benign and highly prevalent in the general population, they could trigger sustained supraventricular and ventricular arrhythmias, and cause cardiomyopathies. The aim of this article was to review the main electrocardiology features of premature complexes and discuss their implications in clinical practice.
早搏是起源于心房、交界区或心室组织的电冲动,可导致过早搏动。房性早搏比房室交界区起源的早搏更常见,但比室性早搏少见。尽管早搏通常是良性的,且在普通人群中非常普遍,但它们可能引发持续性室上性和室性心律失常,并导致心肌病。本文旨在综述早搏的主要心电图特征,并讨论其在临床实践中的意义。