房室阻滞表现多变的临床心电图分析
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  • 英文篇名:The Clinical ECG Analysis of Variable Atrioventricular Block Manifestations
  • 作者:李洋 ; 刘仁光
  • 英文作者:LI Yang;LIU Renguang;The Institute of Cardiovascular Disease,the First Affiliated Hospital of Jinzhou Medical University;
  • 关键词:房室阻滞 ; 心电图 ; 动态心电图
  • 英文关键词:atrioventricular block;;electrocardiogram;;Holter ECG
  • 中文刊名:JZYX
  • 英文刊名:Journal of Jinzhou Medical University
  • 机构:锦州医科大学附属第一医院心血管病研究所;
  • 出版日期:2018-02-15
  • 出版单位:锦州医科大学学报
  • 年:2018
  • 期:v.39
  • 语种:中文;
  • 页:JZYX201801030
  • 页数:3
  • CN:01
  • ISSN:21-1606/R
  • 分类号:91-93
摘要
本文结合1例入院心电图表现为三度房室阻滞,动态心电图显示房室阻滞程度多变的心电图分析,探讨阻滞程度多变的原因,提出结合临床,在病情没有变化时注意PP间期变化、逸搏干扰和自主神经张力的影响。
        Combined with the analysis of third-degree atrioventricular block in one case's electrocardiogram and variable atrioventricular block degrees showed in Holter ECG,the paper aims to explore the causes of variable block levels. It proposes that combined with clinical manifestation,the impacts of PP interval changes,escape beat interference and autonomic nervous tension should be paid attention to when the patient is in stable condition.
引文
[1]Elkin A,Godschlager N.Atrioventricular blaock with 2:1 conduction;where is the block,and how should it be managed?[J].Jama Intern Med,2013,173(5):335-337.
    [2]刘仁光.临床复杂心电图案例解析[M].沈阳:辽宁科学技术出版社,2014:108-111.
    [3]Philip S,Hall MDl,Babak Nazer MD,et al.Reversible High-Grade Atrioventricular Block Associated With Cocaine Use[J].Jama Intern Med,2015,175(12):1965-1967.
    [4]刘仁光.“房室分离”QRS波形多变:房室阻滞程度和部位[J].临床心电学杂志,2014,24(2):136-137.

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