一种不稳定型心动过速……室上性、室性还是两者皆有？
A wobble tachycardia… supraventricular, ventricular or both?
作者信息
Rajjoub Kinán, Vila-Olives Rosa, Francisco-Pascual Jaume
机构信息
Servei de Cardiologia, Hospital Universitari Vall d'Hebron i Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Servei de Cardiologia, Hospital Universitari Vall d'Hebron i Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
出版信息
J Electrocardiol. 2023 Sep-Oct;80:174-177. doi: 10.1016/j.jelectrocard.2023.07.012. Epub 2023 Aug 4.
We present the case of a 77-year-old man with ischemic heart disease and baseline right bundle branch block having a well-tolerated and regular wide complex tachycardia with right bundle branch block morphology. A wide complex tachycardia (WCT) could be of supraventricular or ventricular origin. In this setting, we discuss the differential diagnosis of WCT, the usefulness and limitations of the diagnostic criteria for ventricular tachycardia.
我们报告一例77岁男性患者，患有缺血性心脏病且基线存在右束支传导阻滞，出现了耐受性良好且规则的宽QRS波心动过速，其形态为右束支传导阻滞型。宽QRS波心动过速（WCT）可能起源于室上性或室性。在此背景下，我们讨论宽QRS波心动过速的鉴别诊断、室性心动过速诊断标准的实用性及局限性。
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