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伴有可变R-R间期和离散P波的窄QRS波群心动过速

Narrow QRS Complex Tachycardia With Variable R-R Intervals and Discrete P Waves.

作者信息

Yakabe Daisuke, Fukuyama Yusuke, Araki Masahiro, Nakamura Toshihiro

机构信息

Department of Cardiology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka City, Fukuoka Prefecture, Japan.

出版信息

JACC Case Rep. 2023 Mar 15;10:101753. doi: 10.1016/j.jaccas.2023.101753.

DOI:10.1016/j.jaccas.2023.101753
PMID:36974046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10039389/
Abstract

Irregular narrow QRS complex tachycardia is associated with a wide range of differential diagnoses, including atrial fibrillation and atrial tachyarrhythmia with altered atrioventricular conduction. Here, we present a case of narrow QRS complex tachycardia with variable R-R intervals and discrete P waves. ().

摘要

不规则窄QRS波群心动过速与多种鉴别诊断相关，包括心房颤动和伴有房室传导改变的房性快速心律失常。在此，我们报告一例具有可变R-R间期和离散P波的窄QRS波群心动过速病例。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/10039389/2eb9b8d85795/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/10039389/5d440af4da50/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/10039389/2eb9b8d85795/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/10039389/5d440af4da50/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d2/10039389/2eb9b8d85795/gr1.jpg

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本文引用的文献

1
Reentrant and nonreentrant forms of atrio-ventricular nodal tachycardia mimicking atrial fibrillation.酷似心房颤动的房室结折返性和非折返性心动过速形式
J Cardiovasc Electrophysiol. 2006 Mar;17(3):312-6. doi: 10.1111/j.1540-8167.2006.00410.x.
2
Nonreentrant supraventricular tachycardia due to simultaneous conduction over fast and slow AV node pathways: successful treatment with radiofrequency ablation.因快慢房室结径路同时传导所致的非折返性室上性心动过速：射频消融成功治疗
Pacing Clin Electrophysiol. 1994 Jun;17(6):1186-93. doi: 10.1111/j.1540-8159.1994.tb01479.x.
3
New manifestations of dual A-V nodal pathways.
房室结双径路的新表现
Eur J Cardiol. 1975 Apr;2(4):459-66.