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相關文獻
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- 二聯律
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- 心室頻脈?
頁籤選單縮合
題名 | Flutter-like P Waves in a Case of Atrioventricular Reciprocating Tachycardia=房室迴繞性頻脈以罕見之鋸齒狀撲動波形呈現 |
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作者 | 鄭凱鴻; 朱志生; 李坤泰; 李碩粲; 蘇河名; 林宗憲; 許勝雄; 賴文德; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 21:8 民94.08 |
頁次 | 頁377-382 |
分類號 | 415.318 |
關鍵詞 | 房室迴繞性頻脈; 心房撲動; 鋸齒狀撲動波; Atrioventricular reciprocating tachycardia; Atrial flutter; Sawtooth flutter wave; |
語文 | 英文(English) |
中文摘要 | 典型之心房撲動之特色就是在心電圖II,III,aVF,及V1導極呈現鋸齒狀撲動波形。房室迴繞性頻脈之特色在於其逆傳性小的P波出現在QRS波完成之後。我們提出少見的一個62歲的房室迴繞性頻脈患者於頻脈發作時,以如此鋸齒狀撲動波形呈現於心電圖並討論房室迴繞性頻脈患者以鋸齒狀撲動波呈現於其心悸時所認證的心電圖隻可能機轉。 |
英文摘要 | Typical atrial flutter is characterized by its sawtooth flutter wave in leads II, III, aVF, and V1. Atrioventricular reciprocating tachycardia is characterized by its small retrograde P wave after completion of QRS complex, where sawtooth flutter-like P waves are rarely seen in the electrocardiogram during atrioventricular reciprocating tachycardia. We report on a 62-year-old patient who presented the characteristic sawtooth flutter-like P waves in the electrocardiogram during attack of supraventricular tachycardia. By electrophysiologic study, the mechanism of his supraventricular tachycardia was atrioventricular reciprocating tachycardia using the left posterior lateral concealed accessory pathway for retrograde conduction. The accessory pathway was successfully ablated by radiofrequency ablation therapy. |
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