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缺血情况下预激综合征(WPW)心电图表现转变为预激综合征:一例报告

The Conversion of Wolff-Parkinson-White (WPW) Pattern into WPW Syndrome in the Presence of Ischemia: A Case Report.

作者信息

Iqbal Arshad Muhammad, Ghazni Muhammad Salman, Mubarik Ateeq, Zubair Nida, Jamal Syed Farrukh

机构信息

Internal Medicine, Oak Hill Hospital, Brooksville, USA.

Cardiology, Tabba Heart Institute, Karachi, PAK.

出版信息

Cureus. 2019 Feb 27;11(2):e4147. doi: 10.7759/cureus.4147.

DOI:10.7759/cureus.4147
PMID:31058030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6488346/
Abstract

Wolff-Parkinson-White (WPW) syndrome is defined by the presence of a short PR interval, delta waves on the electrocardiogram (EKG), and symptomatic tachycardia. The condition is rare but can be life-threatening if not recognized in a timely manner. The WPW pattern on EKG can mask ischemic changes and may also increase the risk of arrhythmia and subsequent mortality. Our case describes the conversion of an underlying WPW pattern into WPW syndrome in the scenario of an acute myocardial infarction (AMI).

摘要

预激综合征(WPW)的定义为心电图(EKG)出现短PR间期、δ波以及有症状的心动过速。这种情况较为罕见,但如果不能及时识别,可能会危及生命。EKG上的WPW图形可掩盖缺血性改变,还可能增加心律失常及后续死亡的风险。我们的病例描述了在急性心肌梗死(AMI)情况下,潜在的WPW图形转变为WPW综合征的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/ac42fecd9753/cureus-0011-00000004147-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/abbc9d1dd12e/cureus-0011-00000004147-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/6370815e7fca/cureus-0011-00000004147-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/6d5da6869e7f/cureus-0011-00000004147-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/5de5857df05c/cureus-0011-00000004147-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/ac42fecd9753/cureus-0011-00000004147-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/abbc9d1dd12e/cureus-0011-00000004147-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/6370815e7fca/cureus-0011-00000004147-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/6d5da6869e7f/cureus-0011-00000004147-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/5de5857df05c/cureus-0011-00000004147-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3472/6488346/ac42fecd9753/cureus-0011-00000004147-i05.jpg

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When a Pseudo-Infarct Electrocardiogram (ECG) Pattern in a Posterior Accessory (Wolff-Parkinson-White) Pathway Masks a True Inferior Infarct.当后间隔旁路(预激综合征)中的假性梗死心电图模式掩盖真正的下壁梗死时。
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