[1]韩战营,吴斌,邱春光#,等.最终消融靶点位于左后间隔的B型预激综合征患者体表心电图的特征[J].郑州大学学报(医学版),2013,(04):534.
 HAN Zhanying,WU Bin,QIU Chunguang,et al.Features of surface electrocardiogram of final ablation target at left posterior septal in patients with type B WolffParkinsonWhite syndrome[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2013,(04):534.
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最终消融靶点位于左后间隔的B型预激综合征患者体表心电图的特征
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2013年04期
页码:
534
栏目:
应用研究
出版日期:
2013-07-20

文章信息/Info

Title:
Features of surface electrocardiogram of final ablation target at left posterior septal in patients with type B WolffParkinsonWhite syndrome
作者:
韩战营吴斌邱春光#陈晓杰卢文杰
郑州大学第一附属医院心内科 郑州 450052
Author(s):
HAN ZhanyingWU BinQIU ChunguangCHEN XiaojieLU Wenjie
Department of Cardiology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
预激综合征后间隔旁道体表心电图
Keywords:
WolffParkinsonWhite syndromeposterior septal accessory pathwaysurface electrocardiogram
分类号:
R540.4
摘要:
目的:探讨体表心电图提示右后间隔旁道,而最终消融靶点在左后间隔的预激(WPW)综合征患者体表心电图特征。方法:WPW综合征患者37例,经心内电生理标测到最佳消融靶点位于左后间隔(A组)9例,右后间隔(B组)28例;体表心电图的监测项目包括:①δ波40 ms时方向。②V1导联δ波时间。③V1导联波型(rS或QS)。④Ⅱ、V1~V6导联的T波方向。结果:A组V1~V6导联T波正向的个数多(t=3.423,P<0.001),V1导联呈rS波型多(P=0.024),患者首次发作室上性心动过速的年龄较大。结论:在B型WPW综合征患者的体表心电图上,V1~V6导联T波正向的个数多、V1导联呈rS波型,左后间隔旁道的可能性大。
Abstract:
Aim: To find out the features of surface electrocardiogram(ECG) firstly suggesting right posterior septal(RPS) accessory pathway in patients with WolffParkinsonWhite(WPW) syndrome, but final ablation target at left posterior septal(LPS).Methods:A total of 37 patients were divided into LPS(group A, n=9)and RPS (group B, n=28) by radiofrequency catheter ablation. The parameters of surface ECG examination included δ waves direction at 40 ms;δ waves time in V1; wave shape in V1(rS or QS); T waves direction in Ⅱ,V1~V6. Results: Compared with group B,T wave positive in V1~V6 and rS wave in V1 in group A were significantly more(P=0.024). Conclusion: In surface ECG of patients with type B WPW syndrome, more T wave positive in V1~V6 and rS wave in V1 suggest larger probability of LPS.

参考文献/References:

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备注/Memo

备注/Memo:
#通讯作者,男,1965年8月生,博士,教授,主任医师,研究方向:冠心病介入治疗,Email:qcg123@163.com
更新日期/Last Update: 2013-07-25