Brugada法和Griffith法在宽QRS心动过速诊断中的价值  

The value on differential diagnosis of broad complex tachycardia with Brugada′s criteria and Griffith′s criteria

作　　者：林加锋 陈达开 姜文兵 胡锦莲 王毅 娄海伦 张建华 陈晓曙 夏岚兰 

机构地区：[1]温州市第三医院心内科,浙江温州325000

出　　处：《临床心血管病杂志》2000年第5期205-208,共4页Journal of Clinical Cardiology

摘　　要：目的 :探讨 Brugada法和 Griffith法在宽 QRS心动过速 (WRT)鉴别诊断中的价值。方法 :对 61例 WRT〔其中室性心动过速 (VT) 34例 ,室上性心动过速 (SVT) 2 7例〕心电图采用Brugada法及 Griffith法进行回顾性分析。结果 :Brugada法诊断 VT的敏感性、特异性、准确性分别为 91 .2 %、85.2 %、88.5% ,略高于 Griffith法的 82 .4%、77.8%、80 .3%。结论 :Brugada法和Griffith法对器质性心脏病所致的 VT及 SVT伴室内差异传导或原有单侧束支传导阻滞者诊断的符合率高 ,但对左束支阻滞型特发性 VT、SVT伴双分支阻滞 (右束支阻滞加左前分支阻滞 )及预激综合征伴旁路前传型 SVT诊断符合率低 。Objective:To investigate the value of Brugada′s criteria and Griffith′s criteria in the differential diagnosis of wide QRS complex tachycardia.Method:Sixtyone patients,34 with ventricular tachycardia (VT),27 with supraventricular tachycardia (SVT), were studied retrospectively by Brugada′s criteria and Griffith′s criteria.Result:The sensitivity,specificity and accuracy of Brugada′s criteria were 91.2 %, 85.2 %, 88.5 %;they were slightly higher than those of Griffith′s criteria ( 82.4 %, 77.8 % and 80.3 %).Conclusion:Both Brugada′s criteria and Griffith′s criteria were effective for differential diagnosis of VT with organic heart diseases and SVT with intraventricular aberrant conduction or SVTBBB. But they had little value to diagnose idiopathic ventricular tachycardia of LBBB and SVT with bifascicular block or WPW with SVT.

关 键 词：宽QRS心动过速 BRUGADA法 Griffith法 

分 类 号：R541.710.4[医药卫生—心血管疾病]