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关于宽QRS波心动过速的一个普遍误解。

A prevalent misconception regarding wide-complex tachycardias.

作者信息

Morady F, Baerman J M, DiCarlo L A, DeBuitleir M, Krol R B, Wahr D W

出版信息

JAMA. 1985 Nov 15;254(19):2790-2.

PMID:4057488
Abstract

In response to a questionnaire, 59% of 196 physicians indicated that they were influenced by a patient's blood pressure and clinical status when attempting to distinguish ventricular tachycardia (VT) from paroxysmal supraventricular tachycardia with bundle-branch block. A sizable proportion of physicians are unaware that VT need not be associated with shock. More emphasis should be placed on making physicians aware that the differentiation of VT from paroxysmal supraventricular tachycardia should be based on electrocardiographic findings and not on the patient's blood pressure or clinical status.

摘要

在对一份调查问卷的回复中,196名医生中有59%表示,在试图将室性心动过速(VT)与伴有束支传导阻滞的阵发性室上性心动过速区分开来时,他们会受到患者血压和临床状况的影响。相当一部分医生不知道室性心动过速不一定与休克相关。应该更加重视让医生意识到,室性心动过速与阵发性室上性心动过速的鉴别应基于心电图表现,而不是患者的血压或临床状况。

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A prevalent misconception regarding wide-complex tachycardias.关于宽QRS波心动过速的一个普遍误解。
JAMA. 1985 Nov 15;254(19):2790-2.
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Current algorithms for the diagnosis of wide QRS complex tachycardias.目前用于诊断宽QRS波群心动过速的算法。
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West J Emerg Med. 2008 Jan;9(1):28-39.
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[Regular tachycardia with broad QRS complex: differential diagnosis on 12-lead ECG].[伴有宽QRS波群的规则性心动过速:12导联心电图的鉴别诊断]
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