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心室预激:一种异常波干扰有序心室激活。

Ventricular Preexcitation: An Anomalous Wave Interfering with the Ordered Ventricular Activation.

机构信息

Arrhythmology Unit, Cardiology Department, Foligno General Hospital, Via Massimo Arcamone, Foligno, Perugia 06034, Italy; Cardiovascular Disease Department, University of Perugia, Piazza Menghini 1, Perugia 06129, Italy; Arrhythmology and Electrophysiology Department, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy.

Department of Heart and Vessels, Ospedale di Circolo, Viale Borri, 57, Varese 21100, Italy; Department of Medicine and Surgery, University of Insubria, Viale Guicciardini, 9, Varese 21100, Italy.

出版信息

Card Electrophysiol Clin. 2020 Dec;12(4):447-464. doi: 10.1016/j.ccep.2020.08.011.

Abstract

Ventricular preexcitation is a depolarization of the ventricles that occurs before the conventional sequence, and the electrocardiogram is the specific test for diagnosis. A Kent bundle is the paradigm of ventricular preexcitation, and it is associated with short PR, wide QRS and delta wave. This finding is not always very evident, as it can have different degrees of pre-eccitazione; therefore great diagnostic care must be taken in this field. If not properly identified, the pattern of ventricular preexcitation may lead to an incorrect diagnosis. The methodology of precision electrocardiology is able to confront all these aspects.

摘要

心室预激是心室除极发生在常规序列之前,心电图是诊断的特定检查。Kent 束是心室预激的范例,它与短 PR、宽 QRS 和 delta 波有关。这种发现并不总是非常明显,因为它可以有不同程度的预激;因此,在这个领域必须非常小心地进行诊断。如果不能正确识别,心室预激的模式可能导致错误的诊断。精确心电图学的方法学能够应对所有这些方面。

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