PR间期延长伴交替出现的宽QRS和窄QRS波群：其机制是什么？
PR prolongation with alternating wide and narrow QRS complexes: What is the mechanism?
作者信息
Russo Vincenzo, Pezzella Rita, Cantiello Luigi Mauro
机构信息
Cardiology Unit, Department of Medical Translational Sciences University of Campania "Luigi Vanvitelli" - Monaldi Hospital Naples Italy.
Azienda Ospedaliera Universitaria Federico II Naples Italy.
出版信息
J Arrhythm. 2024 Mar 15;40(3):629-631. doi: 10.1002/joa3.13026. eCollection 2024 Jun.
Abstract
The alternating wide and narrow QRS complexes following prolonged PR interval is a challenging issue. The scalar diagrams with the graphic representation of the electrical events and the careful analysis of their temporal relationship can help to better understand the surface electrocardiogram.
摘要
PR间期延长后交替出现的宽QRS波群和窄QRS波群是一个具有挑战性的问题。带有电活动图形表示的标量图以及对它们时间关系的仔细分析有助于更好地理解体表心电图。
相似文献
1
PR prolongation with alternating wide and narrow QRS complexes: What is the mechanism?PR间期延长伴交替出现的宽QRS和窄QRS波群：其机制是什么？
J Arrhythm. 2024 Mar 15;40(3):629-631. doi: 10.1002/joa3.13026. eCollection 2024 Jun.
2
Electrocardiography of Atrioventricular Block.房室传导阻滞的心电图。
Card Electrophysiol Clin. 2021 Dec;13(4):599-605. doi: 10.1016/j.ccep.2021.07.001. Epub 2021 Sep 25.
3
Electrocardiography of Atrioventricular Block.房室传导阻滞的心电图。
Cardiol Clin. 2023 Aug;41(3):307-313. doi: 10.1016/j.ccl.2023.03.007.
4
5
Post-transcatheter aortic valve implantation isolated PR prolongation: incidence and clinical significance.经导管主动脉瓣植入术后孤立的 PR 间期延长：发生率及临床意义。
Europace. 2023 Dec 28;26(1). doi: 10.1093/europace/euae011.
6
Incidence, clinical characteristics, electrophysiological characteristics and outcomes of patients with baseline PR prolongation undergoing radiofrequency ablation for Atrioventricular nodal reentrant tachycardia.基线PR间期延长的房室结折返性心动过速患者接受射频消融治疗的发病率、临床特征、电生理特征及预后
Indian Pacing Electrophysiol J. 2024 Jan-Feb;24(1):16-19. doi: 10.1016/j.ipej.2023.11.005. Epub 2023 Dec 22.
7
Surface electrocardiogram: Could atrioventricular nodal and His bundle potentials be recorded beat by beat on "Saah electrocardiogram"?体表心电图：能否在“Saah心电图”上逐搏记录房室结和希氏束电位？
Anatol J Cardiol. 2017 Aug;18(2):110-114. doi: 10.14744/AnatolJCardiol.2017.7749. Epub 2017 Jun 22.
8
Misleading ECG appearance of AV block due to concealed AV nodal conduction caused by interpolated ventricular ectopic beats.由于插入性室性早搏导致隐匿性房室结传导引起的房室传导阻滞的误导性心电图表现。
Turk Kardiyol Dern Ars. 2009 Apr;37(3):197-200.
9
Atrioventricular Optimized Direct His Bundle Pacing Improves Acute Hemodynamic Function in Patients With Heart Failure and PR Interval Prolongation Without Left Bundle Branch Block.房室优化直接希氏束起搏可改善无左束支传导阻滞的心力衰竭和PR间期延长患者的急性血流动力学功能。
JACC Clin Electrophysiol. 2015 Dec;1(6):582-591. doi: 10.1016/j.jacep.2015.08.008. Epub 2015 Oct 23.
10
Wenckebach pattern in right bundle branch block - benign or not?右束支传导阻滞中的文氏现象——是良性的吗？
J Electrocardiol. 2017 Mar-Apr;50(2):223-226. doi: 10.1016/j.jelectrocard.2016.09.008. Epub 2016 Sep 24.
本文引用的文献
1
2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy.2021年欧洲心脏病学会心脏起搏与心脏再同步治疗指南。
Eur Heart J. 2021 Sep 14;42(35):3427-3520. doi: 10.1093/eurheartj/ehab364.
2
Bundle branch block in alternate beats: the role of supernormal and concealed bundle branch conduction.交替心搏的束支传导阻滞：超常期与隐匿性束支传导的作用
Heart Lung. 1995 Jul-Aug;24(4):312-4. doi: 10.1016/s0147-9563(05)80075-5.
3
Pseudo-atrioventricular dissociation caused by interpolated ventricular extrasystoles in the presence of dual atrioventricular nodal pathway.双房室结通路存在时，插入性室性期前收缩引起的假性房室分离
Chest. 1994 May;105(5):1587-9. doi: 10.1378/chest.105.5.1587.
4
Periodic variation in atrioventricular conduction time: mechanisms of initiation, maintenance and termination of periods of long PR intervals.房室传导时间的周期性变化：长PR间期时段的起始、维持及终止机制
Am J Cardiol. 1984 May 1;53(9):1288-91. doi: 10.1016/0002-9149(84)90081-x.
5
Linking: a dynamic electrophysiologic phenomenon in macroreentry circuits.连接：大折返环路中的一种动态电生理现象。
Circulation. 1985 Feb;71(2):254-65. doi: 10.1161/01.cir.71.2.254.
Zotero 插件