宽QRS波心动过速心电图的鉴别诊断原理  

Differential diagnosis principle of wide QRS complex tachycardia of electrocardiogram

作　　者：刘阔 段芳 贾沁洁 王鹏博 周子涵 王倩[1] 刘德敏[1] 耿雪[1] 崔炜[1] Liu Kuo;Duan Fang;Jia Qinjie;Wang Pengbo;Zhou Zihan;Wang Qian;Liu Demin;Geng Xue;Cui Wei(First Division,Department of Cardiology,the Second Hospital of Hebei Medical University and Institute of Cardiocerebrovascular Disease of Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院,河北省心脑血管病研究所心内一科,石家庄050000

出　　处：《中国心血管杂志》2024年第2期188-192,共5页Chinese Journal of Cardiovascular Medicine

摘　　要：宽QRS波心动过速的鉴别诊断主要围绕异常传导的室上性心动过速和室性心动过速进行。起搏点独立于窦房结和(或)心房、传导方向异常及传导速度异常是依据心电图鉴别宽QRS波心动过速的基本原理。本文从以上三个方面结合病史及查体总结了通过心电图图形特征进行鉴别诊断的具体方法。The differential diagnosis of wide QRS complex tachycardia of electrocardiogram(ECG)mainly refers to the abnormal conduction of supraventricular tachycardia and ventricular tachycardia.Pacemaker independence from sinus node or atrium,abnormal conduction direction and abnormal conduction velocity are the basic principles of identifying wide QRS complex tachycardia based on ECG.This article mainly summarizes the specific methods of differential diagnosis through ECG graphic features,combining medical history and physical examination from the above three aspects.

关 键 词：心电图 心律失常 宽QRS波心动过速 鉴别诊断 

分 类 号：R54[医药卫生—心血管疾病]