Algul Engin, Merovci Idriz, Kara Meryem, Cetin Elif Hande Ozcan, Kocyigit Burunkaya Duygu, Sunman Hamza, Korkmaz Ahmet, Ozcan Firat, Cay Serkan, Ozeke Ozcan, Ozdemir Ozcan, Aras Dursun, Topaloglu Serkan
Department of Cardiology, University of Health Sciences, Ankara Etlik City Hospital, Ankara, Turkey.
Department of Cardiology, University Clinical Center of Kosovo, Prishtina, Kosovo.
J Innov Card Rhythm Manag. 2025 Feb 15;16(2):6173-6176. doi: 10.19102/icrm.2025.16021. eCollection 2025 Feb.
The differential diagnosis for wide complex tachycardia includes all causes of narrow complex tachycardia with bundle branch block, all causes of narrow complex tachycardia with antegrade pre-excitation, ventricular tachycardia, and antidromic and other pre-excited reciprocating tachycardias. The variation in a specific intracardiac interval that causes a subsequent change in the tachycardia cycle length or another intracardiac interval can be diagnostic in these arrhythmias.
宽QRS波心动过速的鉴别诊断包括所有伴有束支传导阻滞的窄QRS波心动过速的病因、所有伴有前传预激的窄QRS波心动过速的病因、室性心动过速、逆向性及其他预激性折返性心动过速。特定心腔内间期的变化导致心动过速周期长度或另一个心腔内间期随后发生改变,这在这些心律失常中具有诊断价值。