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可能起源于希氏-浦肯野系统的室性心动过速可能由乌头碱中毒引起。

Ventricular Tachycardia Possibly Originated From the His-Purkinje System May Result From Aconitine Poisoning.

作者信息

Ni Honglin, Zhai Changlin, Pan Haihua

机构信息

Department of Electrocardiology, The First Hospital of Jiaxing Affiliated Hospital of Jiaxing University, Jiaxing, China.

Department of Cardiology, The First Hospital of Jiaxing Affiliated Hospital of Jiaxing University, Jiaxing, China.

出版信息

Ann Noninvasive Electrocardiol. 2025 Jan;30(1):e70040. doi: 10.1111/anec.70040.

DOI:10.1111/anec.70040
PMID:39645600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11625383/
Abstract

Accurate diagnosis of wide QRS complex tachycardia (WCT) with the earliest ventricular origin potentially located in the His-Purkinje system, and exploration of its etiology are helpful for further diagnosis and treatment. This article finds through specific cases that one of the possible etiologies is aconitine poisoning.

摘要

准确诊断最早心室起源可能位于希氏-浦肯野系统的宽QRS波群心动过速（WCT）并探究其病因，有助于进一步的诊断和治疗。本文通过具体病例发现，可能的病因之一是乌头碱中毒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/d3031970ae04/ANEC-30-e70040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/7e7fecf277fb/ANEC-30-e70040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/61a7ce51757e/ANEC-30-e70040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/d3031970ae04/ANEC-30-e70040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/7e7fecf277fb/ANEC-30-e70040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/61a7ce51757e/ANEC-30-e70040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8c/11625383/d3031970ae04/ANEC-30-e70040-g001.jpg

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Ann Noninvasive Electrocardiol. 2025 Jan;30(1):e70040. doi: 10.1111/anec.70040.
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本文引用的文献

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Simplified Integrated Clinical and Electrocardiographic Algorithm for Differentiation of Wide QRS Complex Tachycardia: The Basel Algorithm.宽 QRS 心动过速的简化综合临床和心电图算法：巴塞尔算法。
JACC Clin Electrophysiol. 2022 Jul;8(7):831-839. doi: 10.1016/j.jacep.2022.03.017. Epub 2022 May 25.
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Severe Arrhythmia Caused by a Chinese Herb Liquor: What Is the Diagnosis?一种中药药酒引发的严重心律失常：诊断结果是什么？
Circulation. 2021 Apr 6;143(14):1450-1451. doi: 10.1161/CIRCULATIONAHA.121.053765. Epub 2021 Apr 5.
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Clinical relationship between blood concentration and clinical symptoms in aconitine intoxication.
乌头碱中毒血药浓度与临床表现的临床关系。
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Simple electrocardiographic criteria for rapid identification of wide QRS complex tachycardia: The new limb lead algorithm.简单的心电图标准用于快速识别宽 QRS 心动过速：新的肢体导联算法。
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An increase of late sodium current induces delayed afterdepolarizations and sustained triggered activity in atrial myocytes.晚钠电流增加会在心房肌细胞中诱发延迟后去极化和持续性触发活动。
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New algorithm using only lead aVR for differential diagnosis of wide QRS complex tachycardia.仅使用aVR导联进行宽QRS波心动过速鉴别诊断的新算法。
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