假性心室预激12例分析  

Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography

作　　者：李兴杰[1] 韩艳华 Li xingjie;Han yanhua(First Peopled Hospital of Jining Shandong Province,Jining,272011,China;Peopled Hospital of Juye County Shandong Province,Jining,274900,China)

机构地区：[1]山东省济宁市第一人民医院,272011 [2]山东省巨野县人民医院,274900

出　　处：《临床心电学杂志》2022年第2期102-109,共8页Journal of Clinical Electrocardiology

摘　　要：目的 探讨假性心室预激的常见原因、心电图特点及与心室预激的鉴别诊断。方法 选择12例假性心室预激进行分析探讨。结果 假性心室预激可见于:(1)室性激动;(2)室性融合波;(3)短PR+室内阻滞;(4)房间阻滞;(5)不完全性左束支阻滞;(6)某些临床心脏疾病;(7)原因不明等多种情况。充分有效地利用常规心电图及Holter中的心电信息多可识别假性心室预激,必要时须进行心内电生理检查。结论 (1)假性心室预激可见于多种情况;(2)充分有效地利用常规心电图及Holter中的心电信息多可对假性心室预激进行鉴别;(3)需增强对假性心室预激的鉴别意识,以防误诊。Objective To investigate the common causes, electrocardiography(ECG) characteristics and differential diagnosis of pseudo-ventricular pre-excitation. Methods The ECG and clinical characteristics of 12 cases of pseudo-ventricular pre-excitation were analyzed and discussed. Results Pseudo-ventricular pre-excitation could be observed in the following situations:(1)Ventricular excitation;(2)Ventricular fusion wave;(3)Short PR interval and interventricular block;(4)Interatrial block;(5)Incomplete left bundle branch block;(6)Some clinical heart disease;(7)Unknown reasons, etc. Pseudo-ventricular pre-excitation can be identified by using conventional electrocardiogram and Holter, and in some patients, intracardiac electrophysiological test is necessary. Conclusions(1)Pseudo-ventricular pre-excitation can be seen in many cardiac diseases;(2) Regular ECG and Holter are useful to identify pseudo-ventricular pre-excitation;(3) We should pay attention to the existence of pseudo-ventricular pre-excitation in our clinical practice to prevent the potential misdiagnosis.

关 键 词：假性心室预激 室性心律失常 室性融合波 左束支阻滞 房间阻滞 

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