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心电图对右室良性和恶性心律失常的识别。

Electrocardiographic recognition of benign and malignant right ventricular arrhythmias.

机构信息

Division of Cardiology, Mount Sinai Medical Center, Miami Beach, FL, USA.

Division of Cardiology, Vanderbilt Heart and Vascular Institute, Nashville, TN, USA.

出版信息

Europace. 2021 Sep 8;23(9):1338-1349. doi: 10.1093/europace/euab047.

Abstract

Ventricular arrhythmias (VAs) can originate from different anatomical locations of the right ventricle. Ventricular arrhythmias originating from right ventricle have unique electrocardiographic (ECG) characteristics that can be utilized to localize the origin of the arrhythmia. This is crucial in pre-procedural planning particularly for ablation treatments. Moreover, non-ischaemic structural heart diseases, such as infiltrative and congenital heart diseases, are associated with the VAs that exhibit particular ECG findings. This article comprehensively reviews discriminatory ECG characteristics of VAs in the right ventricle with and without structural right ventricular diseases.

摘要

室性心律失常(VA)可起源于右心室的不同解剖部位。起源于右心室的室性心律失常具有独特的心电图(ECG)特征,可用于定位心律失常的起源。这在术前规划中尤为重要,特别是对于消融治疗。此外,非缺血性结构性心脏病,如浸润性和先天性心脏病,与表现出特殊 ECG 发现的 VA 有关。本文全面回顾了有结构性右心室疾病和无结构性右心室疾病的右心室 VA 的鉴别性 ECG 特征。

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