心脏增厚，QRS波增宽，鉴别诊断范围广。
Thick Heart, Wide QRS, Broad Differential.
作者信息
Howell Stacey J, Nazer Babak
机构信息
University of California-San Francisco, San Francisco, California, USA.
Knight Cardiovascular Institute, Oregon Health and Science University, Portland, Oregon, USA.
出版信息
JACC Case Rep. 2021 Sep 1;3(11):1363-1366. doi: 10.1016/j.jaccas.2021.06.021.
Routine electrocardiogram in a middle-aged man with left ventricular hypertrophy showed sinus rhythm, a short PR interval, and delta wave, confirming ventricular pre-excitation. Pre-excitation was fixed after a premature atrial complex and in atrial fibrillation, features diagnostic of a fasciculo-ventricular pathway. Genetic testing confirmed a diagnosis of hypertrophic cardiomyopathy. ().
一名患有左心室肥厚的中年男性的常规心电图显示窦性心律、PR间期缩短和δ波，证实存在心室预激。房性早搏后预激固定，房颤时也有此表现，这些特征可诊断为束室旁路。基因检测确诊为肥厚型心肌病。（）
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