平板运动试验诱发宽QRS心动过速的鉴别诊断  

Differential Diagnosis of Treadmill Exercise Test Induced Wide QRS Complex Tachycardia

作　　者：沈毅[1] 郑平渝[1] 李虹伟[1] 顾复生[1] 李莉[1] 赵淑艳[2] 

机构地区：[1]首都医科大学附属北京友谊医院心脏中心,北京市100050 [2]河北省大厂人民医院功能科

出　　处：《中国全科医学》2009年第1期22-23,26,共3页Chinese General Practice

摘　　要：目的了解Vereckei法新四步流程图对宽QRS心动过速(WQRST)的鉴别诊断价值。方法选择在心电图平板运动试验(ETT)过程中诱发WQRST的受检者27例,应用Vereckei法新四步流程图鉴别诊断WQRST。结果Vereckei法新四步流程图诊断WQRST的符合率为92.6%,误诊率为7.4%。受检者ETT诱发的WQRST均自行终止,未致严重后果。4例ETT阳性的缺血性室性心动过速(VT)患者和1例ETT阳性的缺血性室上性心动过速(SVT)伴束支传导阻滞者,经积极救治均痊愈出院。结论Vereckei法新四步流程图对ETT诱发的WQRST有鉴别诊断的价值,有助于及时正确识别VT和SVT,对疾病的治疗和预后有积极的作用。Objective To investigate the value of Vereckei′s new approach in differential diagnosis of wide QRS complex tachycardia(WQRST).Methods A total of 27 patients with WQRST induced by electrocardiogram treadmill exercise test(ETT).WQRST was differentiated according to Vereckei′s new four-stepwise approach.Results The accordance rate of WQRST diagnosed based on the new four-stepwise approach was 92.6% and the rate of misdiagnosis was 7.4%.All WQRSTs induced by ETT stopped by themselves,with no serious result,The...

关 键 词：宽QRS心动过速 Vereckei法 运动试验 诊断 

分 类 号：R541.7[医药卫生—心血管疾病]