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动态心电图对伴长不应期快径的房室结双径路的诊断价值
引用本文:王玮,党书毅,许大国,王崇全. 动态心电图对伴长不应期快径的房室结双径路的诊断价值[J]. 心血管康复医学杂志, 2005, 14(6): 579-580
作者姓名:王玮  党书毅  许大国  王崇全
作者单位:郧阳医学院附属太和医院心内科,湖北,郧阳市,442000
摘    要:目的:明确24h动态心电图对伴长不应期快径的房室结双径路(DAVNP)的诊断价值。方法:对84例DAVNP合并房室结折返性心动过速(AVNRT)的患者进行24h动态心电图(DCG)监测。结果:3例患者在DCG示间歇性PR间期延长.伴心悸等不适。食管电生理显示快径有效不应期(ERP)延长,大于500ms。结论:DAVNP患者有时快径呈间歇性延长,DCG有助于其确定。

关 键 词:心电描记术  便携式 房室结 不应期
文章编号:1008-0074(2005)06-0579-02
收稿时间:2005-01-27
修稿时间:2005-01-27

Diagnosis value of dynamic electrocardiogram monitoring in patients with dual atrioventricular nodal pathways and long fast pathway effective refractory period
WANG Wei,DANG Shu-yi,XU Da-guo,WANG Chong-quan. Diagnosis value of dynamic electrocardiogram monitoring in patients with dual atrioventricular nodal pathways and long fast pathway effective refractory period[J]. Chinese Journal of Cardiovascular Rehabilitation Medicine, 2005, 14(6): 579-580
Authors:WANG Wei  DANG Shu-yi  XU Da-guo  WANG Chong-quan
Affiliation:Department of Cardiology, Taihe Hospital, Affiliated to Yunyang Medical College, Yunyang ,Hubei, 442000, China
Abstract:Objective: To understand the diagnosis value of 24h dynamic electrocardiogram (DCG) monitoring in patients with dual atrioventricular nodal pathways (DAVNP) and long effective refractory period (ERP) of fast pathway. Methods:DCG monitoring was performed in 84 cases with DAVNP and atrioventricular nodal reentrant tachycardia (AVNRT). Results: Three cases during DCG monitoring were with intermittent long PR intervals and their ERP in fast pathway were more than 500ms by transesophageal atrial pacing. Conclusion: The DAVNP patients may complicate with intermittent long effective refractory period of fast pathway, DCG monitoring may contribute to finding this phenomen.
Keywords:Electrocardiogram dynamic   Atrioventricular nodal   Refractory period
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