宽QRS波心动过速的诊治进展  

Diagnosis and Treatment of Wide QRS Tachycardia

作　　者：代雯雅 陈明[1] 

机构地区：[1]重庆医科大学附属第一医院心内科,重庆400000

出　　处：《心血管病学进展》2014年第4期447-451,共5页Advances in Cardiovascular Diseases

摘　　要：宽QRS波是临床常见的心律失常,常分为室性心动过速和室上性心动过速,由于两者治疗原则及方法不相同,所以鉴别宽QRS波心动过速非常重要,现介绍Brugada法、Vereckei法、aVR法、Ⅱ导联R波峰值标准法以及各种方法的特异性及敏感性。对于不同类型的宽QRS波心动过速有着不同的治疗方法,如药物、电复律及射频消融术。Wide QRS tachycardia is a common clinical arrhythmia that is often divided into supraventricular tachycardia and ventricular tachycardia. The treatments for supraventricular tachycardia and ventricular tachycardia are not the same even though they are both a wide QRS tachycardia. It is important to accurately identify the type of wide QRS tachycardia as early as possible. This review describes the methodologies of the Brugada method,Vereckei method,aVR method and Ⅱ R wave peak standard method,as well as the specificity and sensitivity of each method,and how they relate to possible treatments.

关 键 词：宽QRS波心动过速 BRUGADA法 Vereckei法 aVR法 Ⅱ导联R波峰值标准法 射频消融术 

分 类 号：R541.7[医药卫生—心血管疾病]