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预激综合征并发心房颤动心电图分析探讨
引用本文:司徒志强,王明飞.预激综合征并发心房颤动心电图分析探讨[J].黑龙江医学,2011,35(3):205-207.
作者姓名:司徒志强  王明飞
作者单位:深圳市人民医院体检科,广东,深圳,518020
摘    要:目的 探讨心电图在预激综合征并发心房颤动时的特征及诊治.方法 选择我院预激综合征并发心房颤动的患者20例,对其心电图特点及表现进行回顾性分析.结果 本组20例患者,合并器质性心脏病患者7例,均给予针对性的综合治疗,其窦性心律分别在应用乙胺碘呋酮、普罗帕酮及电复治疗后转复.对13例无器质性病变的患者,分别应用乙胺碘呋酮或...

关 键 词:预激综合征  并发  心房颤动  心电图  临床分析

WPW syndrome ECG analysis of atrial fibrillation
SITU Zhi-qiang,WANG Ming-fei.WPW syndrome ECG analysis of atrial fibrillation[J].Heilongjiang Medical Journal,2011,35(3):205-207.
Authors:SITU Zhi-qiang  WANG Ming-fei
Institution:(The People′s Hospital of Shenzhen City,Shenzhen 518020,CHINA)
Abstract:Objective To investigate the electrocardiogram of atrial fibrillation in WPW syndrome and treatment characteristics of the time.Methods Pre-excitation syndrome in our hospital 20 patients with atrial fibrillation,ECG characteristics and performance of their retrospective analysis.Results 20 patients,7 patients with structural heart disease combined,were given specific comprehensive treatment,the sinus rhythm,respectively,in the application of amiodarone,propafenone,and electrical cardioversion cardioversion after treatment.13 cases of patients with no organic disease,were applied amiodarone or propafenone cardioversion to sinus rhythm.QRS wave in the atrial fibrillation was unanimously passed by the bypass before the large deformity in the form of sinus rhythm is completely similar to the diagnosis of pre-excitation syndrome atrioventricular block(complete) patients,permanent pacing can be for direct implantation.Roughly around under the surface ECG identified two bypass,bypass atrial fibrillation by alternating two downstream,suggesting that AV conduction block in the right way there.Conclusion The clinical group of wide QRS wave and the performance was tachycardia,WPW syndrome should be thought of the occurrence of atrial fibrillation,and then make the full application of the differential diagnosis of anti-arrhythmia drugs.Do a good job of patient vital signs are closely monitored to prepare for the electrical cardioversion,in patients with the condition,treatment can be applied to radiofrequency catheter ablation to cure.
Keywords:Pre-excitation syndrome  Concurrent  Fibrillation  Electrocardiogram  Clinical analysis
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