Miles W M, Prystowsky E N, Heger J J, Zipes D P
Med Clin North Am. 1984 Sep;68(5):1015-38. doi: 10.1016/s0025-7125(16)31084-7.
Acute and long-term therapy as well as prognosis in patients with wide QRS tachycardia differ depending on the mechanism of the arrhythmia. Twelve-lead electrocardiography and prolonged electrocardiographic monitoring are often diagnostic. However, additional techniques such as esophageal and right atrial electrocardiography, or His bundle electrocardiography with detailed electrophysiologic studies, are sometimes necessary to delineate the mechanism of the arrhythmia.
宽QRS波心动过速患者的急性和长期治疗以及预后因心律失常机制不同而有所差异。十二导联心电图和长时间心电图监测常常具有诊断价值。然而,有时需要诸如食管和右心房心电图等额外技术,或进行带有详细电生理研究的希氏束心电图检查,以明确心律失常的机制。