运动试验鉴别房性或交界性心动过速  

The differential diagnosis on the movement which is in the non-paroxysmal atrial tachycardia,junctional tachycardia, and escape rhythm

作　　者：王有武[1] 

机构地区：[1]山东省济宁医学院附属医院,272029

出　　处：《临床心电学杂志》2014年第3期192-194,共3页Journal of Clinical Electrocardiology

摘　　要：目的通过让患者进行运动,进而提高对非阵发性房性或交界性心动过速及逸搏心律的诊断和鉴别诊断。方法对随机遇到的非阵发性房性或交界性心动过速及逸搏心律进行运动前后描记心电图,并静卧观察和记录其心电图变化。结果运动后的心电图均转为窦性心律,随着窦性心律减慢,当接近运动前心率时偶见竞争心律或房性融合波外,多直接转为运动前异位心律。结论运动前后平均心率分别为72±16.5bpm和81±17.8bpm(p<0.01),运动起到提高窦性节律的作用,对非阵发性房性或交界性心动过速及逸搏心律起到诊断及鉴别诊断的作用。Objective improving the understanding of non-paroxysmal atrial tachycardia, junctional tachyeardia, and escape rhythm through the method of sinus rhythm being excited by movement. Methods The ECG of the non-paroxysmal atrial tachycardia, junctional tachyeardia, and escape rhythm is recorded after activity. We observe the ECG which aperson is claming down and lying. Results The ECG after movement all turn into sinus rhythm. The result is that when sinus rhythm reduces close to heart rate before movement. We will disconer the competition rhyhm and atrium fusion wave anidentally most of that directly turn into different heart tare before movement. Conclusions The heart rate of movement in front and back are 72 ± 16.5times/min and 81 ± 17.8 times/min （p〈0.01）. Movement can rise sinus rhythm and explict diagnosis the non-paroxysmal atrial tachycardia, junctional tachycardia, and escape rhythm.

关 键 词：运动 非阵发性房性或交界性心动过速 逸搏心律 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]