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非典型进展性房内阻滞：定义与心电图识别

Atypical advanced interatrial blocks: Definition and electrocardiographic recognition.

作者信息

Bayés de Luna Antoni, Escobar-Robledo Luis Alberto, Aristizabal David, Weir Restrepo Danilo, Mendieta Guiomar, Massó van Roessel Albert, Elosua Roberto, Bayés-Genís Antoni, Martínez-Sellés Manuel, Baranchuk Adrian

机构信息

Cardiovascular Research Foundation, Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain.

Cardiovascular Research Foundation, Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain.

出版信息

J Electrocardiol. 2018 Nov-Dec;51(6):1091-1093. doi: 10.1016/j.jelectrocard.2018.09.004. Epub 2018 Sep 12.

DOI:10.1016/j.jelectrocard.2018.09.004
PMID:30497736
Abstract

The diagnosis of advanced interatrial block (A-IAB) is done by surface ECG analysis when the P-wave ≥120 ms with biphasic (±) morphology in leads II, III and aVF. In this brief communication, we advance a new concept involving atypical patterns of A-IAB due to changes about the morphology or duration of the P-wave. It remains to be determined its real prevalence in different clinical scenarios, and whether these atypical ECG patterns should be considered as predictors of atrial fibrillation/stroke.

摘要

当在II、III和aVF导联中P波≥120毫秒且呈双相（±）形态时，通过体表心电图分析来诊断晚期房内阻滞（A-IAB）。在这篇简短的通讯中，我们提出了一个新的概念，即由于P波形态或时限的改变而导致的A-IAB非典型模式。其在不同临床场景中的实际患病率以及这些非典型心电图模式是否应被视为房颤/中风的预测指标仍有待确定。

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