慢性心律失常的治疗方法:一种建议的算法。

IF 5.2 4区医学 Q2 Medicine

Annals Academy of Medicine Singapore Pub Date : 2023-02-01

Tiong Cheng Yeo, Fang Qin Goh, Yao Neng Teo, Ching Hui Sia

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引用次数: 0

摘要

慢速心律失常在临床实践中很常见。虽然有几种快速心律失常的心电图标准和算法，但据我们所知，没有慢速心律失常的算法。在本文中，我们提出了一种使用简单概念的诊断算法:(1)P波存在与否，(2)P波数量与QRS复合物之间的关系，以及(3)时间间隔(PP, PR和RR间隔)的规律性。我们相信这种直接、逐步的方法为慢速心律失常的广泛鉴别诊断提供了一种结构化和彻底的方法，这样做可以减少误诊和管理不善。

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Approach to bradyarrhythmias: A proposed algorithm.

Bradyarrhythmias are commonly encountered in clinical practice. While there are several electrocardiographic criteria and algorithms for tachyarrhythmias, there is no algorithm for bradyarrhythmias to the best of our knowledge. In this article, we propose a diagnostic algorithm that uses simple concepts: (1) the presence or absence of P waves, (2) the relationship between the number of P waves and QRS complexes, and (3) the regularity of time intervals (PP, PR and RR intervals). We believe this straightforward, stepwise method provides a structured and thorough approach to the wide differential diagnosis of bradyarrhythmias, and in doing so, reduces misdiagnosis and mismanagement.

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来源期刊

Annals Academy of Medicine Singapore 医学-医学：内科

CiteScore

4.90

自引率

5.80%

发文量

186

审稿时长

6-12 weeks

期刊介绍： The Annals is the official journal of the Academy of Medicine, Singapore. Established in 1972, Annals is the leading medical journal in Singapore which aims to publish novel findings from clinical research as well as medical practices that can benefit the medical community.