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心室心律失常中的体表心电图:定位经验

The Surface Electrocardiograph in Ventricular Arrhythmias: Lessons in Localisation.

作者信息

Haqqani Haris M, Marchlinski Francis E

机构信息

Faculty of Medicine, University of Queensland, Department of Cardiology, Prince Charles Hospital, Brisbane, Qld, Australia.

Cardiovascular Division, Electrophysiology Section, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Heart Lung Circ. 2019 Jan;28(1):39-48. doi: 10.1016/j.hlc.2018.08.025. Epub 2018 Sep 24.

Abstract

The 12-lead electrocardiograph (ECG) is of critical importance both in the diagnosis of wide complex tachycardia and in the further classification, characterisation and management of ventricular arrhythmias. With its diligent application and interpretation, remarkable precision can be achieved in the localisation of the site of origin of ventricular arrhythmias and this may have major implications in the care of these patients. This review discusses the technical, anatomic and mechanistic basis of ECG interpretation in ventricular arrhythmias.

摘要

12导联心电图(ECG)在宽QRS波心动过速的诊断以及室性心律失常的进一步分类、特征描述和处理中都至关重要。通过认真应用和解读心电图,在室性心律失常起源部位的定位上可达到很高的精确性,这对这些患者的治疗可能具有重大意义。本综述讨论了室性心律失常心电图解读的技术、解剖和机制基础。

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