De Ponti Roberto, Marazzato Jacopo, Bagliani Giuseppe, Tondini Alessandra, Donzelli Stefano, Padeletti Luigi
Department of Cardiology, School of Medicine, University of Insubria, Viale Borri, 57, Varese 21100, Italy.
Department of Cardiology, School of Medicine, University of Insubria, Viale Borri, 57, Varese 21100, Italy.
Card Electrophysiol Clin. 2018 Jun;10(2):317-332. doi: 10.1016/j.ccep.2018.02.005.
Wide complex tachycardia may represent a challenge for correct interpretation of standard electrocardiogram, which is crucial for proper patient management. For this reason, algorithms based on electrocardiographic criteria have been developed to guide interpretation in a step-by-step approach. Despite their greater accuracy, some cases of wide QRS complex tachycardia are a challenge. Some peculiar forms of ventricular tachycardia, and complex supraventricular substrate or particular clinical condition, may originate a challenging electrocardiographic pattern. In this article, a series of peculiar cases of wide QRS complex tachycardia is presented as paradigm of how important a comprehensive clinical approach is in these patients.
宽QRS波心动过速可能是正确解读标准心电图的一项挑战，而这对于恰当的患者管理至关重要。因此，已开发出基于心电图标准的算法，以逐步指导解读。尽管其准确性更高，但某些宽QRS波心动过速病例仍是一项挑战。一些特殊形式的室性心动过速、复杂的室上性基质或特殊的临床情况，可能会产生具有挑战性的心电图模式。在本文中，一系列宽QRS波心动过速的特殊病例被作为范例呈现，以说明全面的临床方法对这些患者的重要性。
