预激综合征合并心房颤动的心电图分析  

ECG characteristics of Wolff-Parkinson-White syndrome complicating atrial fibrillation

作　　者：李晓霞 杨玲伶[1] 蔡高军[2] 

机构地区：[1]江苏大学附属武进医院心电学科,江苏常州213000 [2]江苏大学附属武进医院心内科,江苏常州213000

出　　处：《实用心电学杂志》2015年第5期338-340,共3页Journal of Practical Electrocardiology

摘　　要：目的探讨预激综合征合并心房颤动的心电图特征。方法分析10例预激综合征合并心房颤动的心电图表现,如平均心室率、f波、RR间期的变化,以及QRS波群形态。结果预激综合征合并心房颤动时心电图特征:较快速心室率,RR绝对不规则,可见delta波,V1导联的长RR间歇可见f波,QRS波群形态多变等。结论应高度关注预激综合征合并心房颤动,依据心电图特点,能及时作出正确的诊断。Objective To explore the ECG features of Wolff-Parkinson-White（WPW） syndrome complicating atrial fibrillation（AF）. Methods The ECG manifestations of 10 patients with WPW syndrome complicating AF were analyzed, such as the average heart rate, f wave, changes of RR in- tervals, and the morphology of QRS complex. Results In the occurrence of WPW syndrome com- plicating AF, ECG was characterized by a rapid ventricular rate, absolutely irregular RR intervals, visible delta wave and f wave in long RR interval of lead V1 , and variable morphology of QRS com- plex, etc. Conclusion WPW syndrome complicating AF should be paid more attention to. Clini- cians are required to make correct and timely diagnosis by the specific ECG features.

关 键 词：预激综合征 心房颤动 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]